Hospital · CCN 260105

Ssm Health Saint Louis University Hospital

1201 S Grand Blvd, Saint Louis, MO 63104 · St. Louis city
Part of SSM Health · 366 beds · 2
Metropolitan area core: primary flow within an urbanized area of 50,000 and greater

84 admission types 56 outpatient services price file: ok 1 Medicare-file findings
Billed per dollar paid, all admissions
3.85×
$229.9M billed against $59.7M paid across 1,852 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
142
$107,454
$25,466
4.2× st 4.6×
267
Endovascular cardiac valve replacement and supplement procedures without mcc
70
$192,154
$48,437
4.0× st 4.8×
064
Intracranial hemorrhage or cerebral infarction with mcc
61
$88,437
$24,151
3.7× st 4.9×
291
Heart failure and shock with mcc
60
$54,784
$16,803
3.3× st 4.4×
065
Intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours
44
$50,042
$13,410
3.7× st 5.6×
853
Infectious and parasitic diseases with o.r. procedures with mcc
39
$273,673
$62,220
4.4× st 4.4×
274
Percutaneous and other intracardiac procedures without mcc
38
$112,884
$31,668
3.6× st 5.2×
481
Hip and femur procedures except major joint with cc
38
$111,789
$23,849
4.7× st 4.9×
193
Simple pneumonia and pleurisy with mcc
33
$53,347
$15,635
3.4× st 4.5×
699
Other kidney and urinary tract diagnoses with cc
31
$46,156
$13,201
3.5× st 4.2×
432
Cirrhosis and alcoholic hepatitis with mcc
30
$80,847
$23,592
3.4× st 4.1×
698
Other kidney and urinary tract diagnoses with mcc
29
$83,338
$22,473
3.7× st 4.5×
177
Respiratory infections and inflammations with mcc
28
$71,599
$20,273
3.5× st 4.5×
441
Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with mcc
28
$56,507
$22,225
2.5× st 4.0×
480
Hip and femur procedures except major joint with mcc
28
$134,877
$33,387
4.0× st 4.6×
870
Septicemia or severe sepsis with mv >96 hours
28
$220,676
$68,811
3.2× st 4.5×
025
Craniotomy and endovascular intracranial procedures with mcc
28
$183,842
$47,169
3.9× st 3.8×
003
Ecmo or tracheostomy with mv >96 hours or principal diagnosis except face, mouth and nec
27
$558,365
$189,130
3.0× st 3.5×
552
Medical back problems without mcc
27
$51,079
$13,048
3.9× st 4.6×
101
Seizures without mcc
26
$30,267
$12,275
2.5× st 4.9×
682
Renal failure with mcc
26
$54,520
$18,579
2.9× st 4.4×
640
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc
25
$81,781
$19,599
4.2× st 4.4×
377
Gastrointestinal hemorrhage with mcc
23
$97,698
$21,778
4.5× st 4.8×
314
Other circulatory system diagnoses with mcc
22
$103,536
$28,998
3.6× st 4.1×
330
Major small and large bowel procedures with cc
21
$76,875
$27,892
2.8× st 4.3×
689
Kidney and urinary tract infections with mcc
21
$59,136
$17,014
3.5× st 4.5×
286
Circulatory disorders except ami, with cardiac catheterization with mcc
21
$113,022
$26,045
4.3× st 4.9×
280
Acute myocardial infarction, discharged alive with mcc
21
$68,989
$19,333
3.6× st 4.8×
189
Pulmonary edema and respiratory failure
21
$43,662
$15,415
2.8× st 5.1×
163
Major chest procedures with mcc
21
$153,057
$50,440
3.0× st 4.3×
493
Lower extremity and humerus procedures except hip, foot and femur with cc
20
$132,031
$30,962
4.3× st 4.3×
252
Other vascular procedures with mcc
20
$111,013
$39,129
2.8× st 4.9×
023
Craniotomy with major device implant or acute complex cns principal diagnosis with mcc o
20
$217,834
$58,296
3.7× st 4.3×
266
Endovascular cardiac valve replacement and supplement procedures with mcc
19
$223,952
$61,588
3.6× st 4.8×
236
Coronary bypass without cardiac catheterization without mcc
19
$221,271
$44,299
5.0× st 4.8×
329
Major small and large bowel procedures with mcc
18
$210,738
$46,921
4.5× st 4.5×
683
Renal failure with cc
18
$30,756
$13,984
2.2× st 4.5×
378
Gastrointestinal hemorrhage with cc
18
$43,806
$11,543
3.8× st 4.7×
321
Percutaneous cardiovascular procedures with intraluminal device with mcc or 4+ arteries/
18
$171,991
$33,705
5.1× st 5.9×
235
Coronary bypass without cardiac catheterization with mcc
18
$286,299
$61,649
4.6× st 4.5×
638
Diabetes with cc
18
$34,596
$11,837
2.9× st 4.4×
326
Stomach, esophageal and duodenal procedures with mcc
17
$158,881
$54,775
2.9× st 3.1×
322
Percutaneous cardiovascular procedures with intraluminal device without mcc
17
$117,025
$21,912
5.3× st 6.6×
100
Seizures with mcc
17
$79,520
$22,450
3.5× st 5.0×
391
Esophagitis, gastroenteritis and miscellaneous digestive disorders with mcc
17
$64,833
$15,137
4.3× st 4.6×
472
Cervical spinal fusion with cc
16
$124,324
$30,201
4.1× st 4.0×
641
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc
16
$48,268
$11,626
4.2× st 4.5×
603
Cellulitis without mcc
16
$26,508
$11,264
2.4× st 4.0×
919
Complications of treatment with mcc
16
$59,953
$22,613
2.7× st 3.6×
086
Traumatic stupor and coma <1 hour with cc
16
$79,033
$15,195
5.2× st 4.8×
208
Respiratory system diagnosis with ventilator support <=96 hours
16
$104,157
$29,150
3.6× st 5.1×
963
Other multiple significant trauma with mcc
16
$147,186
$33,314
4.4× st 4.7×
184
Major chest trauma with cc
16
$60,956
$15,488
3.9× st 4.0×
219
Cardiac valve and other major cardiothoracic procedures without cardiac catheterization
16
$340,981
$84,607
4.0× st 4.3×
392
Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc
15
$25,903
$10,444
2.5× st 4.8×
690
Kidney and urinary tract infections without mcc
15
$32,061
$11,055
2.9× st 4.5×
054
Nervous system neoplasms with mcc
15
$68,070
$18,981
3.6× st 3.4×
981
Extensive o.r. procedures unrelated to principal diagnosis with mcc
14
$200,823
$53,547
3.8× st 4.4×
652
Kidney transplant
14
$342,387
$32,815
10.4× st 8.6×
856
Postoperative or post-traumatic infections with o.r. procedures with mcc
14
$164,048
$50,317
3.3× st 3.8×
082
Traumatic stupor and coma >1 hour with mcc
14
$100,950
$27,081
3.7× st 3.9×
164
Major chest procedures with cc
13
$82,532
$27,302
3.0× st 4.2×
813
Coagulation disorders
13
$1,046,295
$132,054
7.9× st 5.3×
270
Other major cardiovascular procedures with mcc
13
$234,211
$59,406
3.9× st 4.8×
551
Medical back problems with mcc
13
$88,725
$20,597
4.3× st 5.1×
907
Other o.r. procedures for injuries with mcc
13
$150,558
$45,561
3.3× st 4.0×
872
Septicemia or severe sepsis without mv >96 hours without mcc
13
$52,875
$13,988
3.8× st 4.6×
637
Diabetes with mcc
13
$55,476
$13,045
4.3× st 4.4×
091
Other disorders of nervous system with mcc
13
$51,301
$19,421
2.6× st 3.6×
312
Syncope and collapse
13
$41,088
$11,834
3.5× st 5.3×
026
Craniotomy and endovascular intracranial procedures with cc
12
$127,477
$32,985
3.9× st 4.1×
040
Peripheral, cranial nerve and other nervous system procedures with mcc
12
$104,812
$38,183
2.7× st 3.0×
299
Peripheral vascular disorders with mcc
12
$98,843
$22,188
4.5× st 3.9×
004
Tracheostomy with mv >96 hours or principal diagnosis except face, mouth and neck withou
12
$302,074
$118,430
2.6× st 3.3×
543
Pathological fractures and musculoskeletal and connective tissue malignancy with cc
12
$55,014
$17,088
3.2× st 3.9×
857
Postoperative or post-traumatic infections with o.r. procedures with cc
11
$120,965
$28,325
4.3× st 3.8×
085
Traumatic stupor and coma <1 hour with mcc
11
$96,746
$25,812
3.7× st 4.8×
074
Cranial and peripheral nerve disorders without mcc
11
$33,125
$13,187
2.5× st 3.4×
460
Spinal fusion except cervical without mcc
11
$166,591
$42,913
3.9× st 4.8×
442
Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with cc
11
$44,383
$12,008
3.7× st 4.4×
917
Poisoning and toxic effects of drugs with mcc
11
$82,461
$21,153
3.9× st 4.4×
374
Digestive malignancy with mcc
11
$90,592
$27,077
3.3× st 3.9×
327
Stomach, esophageal and duodenal procedures with cc
11
$126,561
$28,461
4.4× st 3.3×
309
Cardiac arrhythmia and conduction disorders with cc
11
$28,750
$10,566
2.7× st 4.7×
02 · Outpatient

Outpatient services

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

APC
Service
Services
Charge
Allowed
Billed ÷ allowed
5302
Level 2 Upper GI Procedures
202
$11,623
$1,658
7.0×
8011
Comprehensive Observation Services
161
$20,822
$2,369
8.8×
5072
Level 2 Excision/ Biopsy/ Incision and Drainage
130
$15,434
$1,322
11.7×
5491
Level 1 Intraocular Procedures
126
$18,449
$2,037
9.1×
5073
Level 3 Excision/ Biopsy/ Incision and Drainage
99
$35,324
$2,484
14.2×
5183
Level 3 Vascular Procedures
76
$26,183
$2,658
9.9×
5184
Level 4 Vascular Procedures
76
$44,558
$4,045
11.0×
5193
Level 3 Endovascular Procedures
72
$61,184
$9,476
6.5×
5153
Level 3 Airway Endoscopy
64
$4,118
$1,484
2.8×
5154
Level 4 Airway Endoscopy
62
$22,463
$3,273
6.9×
5191
Level 1 Endovascular Procedures
53
$21,698
$2,853
7.6×
5361
Level 1 Laparoscopy and Related Services
51
$34,568
$5,044
6.9×
5373
Level 3 Urology and Related Services
51
$12,913
$1,780
7.3×
5313
Level 3 Lower GI Procedures
50
$15,099
$2,420
6.2×
5331
Complex GI Procedures
45
$26,823
$4,539
5.9×
5503
Level 3 Extraocular, Repair, and Plastic Eye Procedures
41
$16,387
$2,043
8.0×
5165
Level 5 ENT Procedures
36
$36,787
$5,119
7.2×
5192
Level 2 Endovascular Procedures
35
$26,785
$4,925
5.4×
5155
Level 5 Airway Endoscopy
33
$34,128
$5,983
5.7×
5372
Level 2 Urology and Related Services
30
$1,027
$597
1.7×
5182
Level 2 Vascular Procedures
29
$10,974
$1,400
7.8×
5303
Level 3 Upper GI Procedures
29
$21,408
$3,264
6.6×
5375
Level 5 Urology and Related Services
29
$28,492
$4,399
6.5×
5341
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures
27
$18,307
$2,912
6.3×
5112
Level 2 Musculoskeletal Procedures
25
$21,260
$1,377
15.4×
5091
Level 1 Breast/Lymphatic Surgery and Related Procedures
25
$28,504
$3,332
8.6×
5374
Level 4 Urology and Related Services
24
$22,258
$3,047
7.3×
5492
Level 2 Intraocular Procedures
22
$32,661
$3,554
9.2×
5114
Level 4 Musculoskeletal Procedures
22
$34,553
$6,254
5.5×
5194
Level 4 Endovascular Procedures
20
$82,816
$14,533
5.7×
5362
Level 2 Laparoscopy and Related Services
20
$57,102
$8,994
6.3×
5213
Level 3 Electrophysiologic Procedures
19
$122,831
$20,708
5.9×
5113
Level 3 Musculoskeletal Procedures
17
$19,043
$2,496
7.6×
5464
Level 4 Neurostimulator and Related Procedures
13
$143,592
$19,076
7.5×
5431
Level 1 Nerve Procedures
13
$19,956
$1,688
11.8×
5493
Level 3 Intraocular Procedures
13
$32,341
$4,305
7.5×
5164
Level 4 ENT Procedures
13
$12,433
$2,814
4.4×
5092
Level 2 Breast/Lymphatic Surgery and Related Procedures
12
$27,958
$5,700
4.9×
5463
Level 3 Neurostimulator and Related Procedures
—
—
—
—
5627
Level 7 Radiation Therapy
—
—
—
—
5376
Level 6 Urology and Related Services
—
—
—
—
5504
Level 4 Extraocular, Repair, and Plastic Eye Procedures
—
—
—
—
5471
Implantation of Drug Infusion Device
—
—
—
—
5465
Level 5 Neurostimulator and Related Procedures
—
—
—
—
5461
Level 1 Neurostimulator and Related Procedures
—
—
—
—
5378
Level 8 Urology and Related Services
—
—
—
—
5166
Cochlear Implant Procedure
—
—
—
—
5200
Implantation Wireless PA Pressure Monitor
—
—
—
—
5212
Level 2 Electrophysiologic Procedures
—
—
—
—
5222
Level 2 Pacemaker and Similar Procedures
—
—
—
—
5223
Level 3 Pacemaker and Similar Procedures
—
—
—
—
5224
Level 4 Pacemaker and Similar Procedures
—
—
—
—
5115
Level 5 Musculoskeletal Procedures
—
—
—
—
5232
Level 2 ICD and Similar Procedures
—
—
—
—
5231
Level 1 ICD and Similar Procedures
—
—
—
—
5163
Level 3 ENT Procedures
—
—
—
—
03 · Its own price file

What the hospital's price-transparency file says

Found via /cms-hpt.txt, the file itself ↗ read as json, last updated 2026-04-01, template 3.0.0, 28,282 rows scanned, 20,332 distinct code–setting items kept. 3,967 findings against it.

Service
Code
Listed
Cash
Negotiated
Rates
Checks
Rbc dna hea 35 ag 11 bld grp
—
—
$1,449
24
clean
Liver dis 10 assays w/ash
—
—
$1,018
21
clean
Liver dis 10 assays w/nash
—
—
$1,018
21
clean
Onco prst8 3 gene ur alg
—
—
$1,529
24
clean
Onc mrna 5 gen rsk urthl ca
—
—
$1,529
24
clean
Onc mrna 5 gen recr urthl ca
—
—
$1,529
24
clean
Adrnl cortcl tum bchm asy 25
—
—
$2,627
23
clean
Onc bladder mrna 209 gen alg
—
—
$7,021
23
clean
Onc thyr 10 microrna seq alg
—
—
$6,041
23
clean
Onc aml dna detcj/nondetcj
—
—
$500
23
clean
Glyca nuc mr spectrsc quan
—
—
$71
24
clean
Onc thyr dna&mrna 112 genes
—
—
$7,244
24
clean
Jak2 gene trgt seq alys
—
—
$303
24
clean
Rx metab advrs trgt seq alys
—
—
$1,494
23
clean
Tpmt nudt15 genes
—
—
$938
24
clean
Neuro csf prion prtn qual
—
—
$1,089
23
clean
Lchg Neuro Csf Prion Protein Qual
$636
$350
—
0
clean
Trgt gen seq dna 324 genes
—
—
$7,042
24
clean
B brgdrferi antb 5 prtn igm
—
—
$35
23
clean
Ct perfusion w/contrast cbf
—
—
$617
19
clean
Hc Ct Cereb Perfus Analy W/C & Postp
$338
$186
—
0
clean
B brgdrferi antb 12 prtn igg
—
—
$35
23
clean
Tbrf b grp antb 4 prtn igm
—
—
$30
23
clean
Tbrf b grp antb 4 prtn igg
—
—
$30
23
clean
Onc brst dux carc is 12 gene
—
—
$7,793
24
clean
Onc prst8 mrna 17 gene alg
—
—
$7,793
24
clean
Bone srgry cmptr fluor image
—
—
$373
24
clean
Bone srgry cmptr ct/mri imag
—
—
$581
24
clean
Onc merkel cll carc srm quan
—
—
$722
24
clean
Onc merkel cll carc srm +/-
—
—
$722
24
clean
Tc meas 5 bmrk sfdi m-s alys
—
—
$56
24
clean
Antb tp total&rpr ia qual
—
—
$63
23
clean
Syfls tst nontreponemal antb
—
—
$36
23
clean
Candida species pnl amp prb
—
—
$287
23
clean
Hc Plcmt Stent Excran Vert Art Init Vessl
$933
$513
—
0
clean
Perq Stent/Chest Vert Art
—
—
$8,996
22
clean
Ig paraprotein qual bld/ur
—
—
$87
23
clean
Onc lng 5 clin rsk factr alg
—
—
$7,083
23
clean
Onc mlnma prame & linc00518
—
—
$1,529
23
clean
Onc cutan mlnma mrna 23 gene
—
—
$3,924
23
clean
Extracorp shockwv tx hi enrg
—
—
$554
23
clean
Hered colon ca do 15 genes
—
—
$2,367
23
clean
Neph ckd mult eclia tum nec
—
—
$1,912
23
clean
Touch Quant Sensory Test
—
—
$197
19
clean
Gstr emptg 7 timed brth spec
—
—
$1,760
23
clean
Vibrate Quant Sensory Test
—
—
$197
19
clean
Cool Quant Sensory Test
—
—
$197
19
clean
Gi barrett esoph 9 prtn bmrk
—
—
$5,084
23
clean
Heat Quant Sensory Test
—
—
$197
19
clean
Iadi 16s&18s rrna genes
—
—
$717
23
clean
Trnsplj don-drv cll-fr dna
—
—
$5,540
23
clean
Crd ceramides liq chrom plsm
—
—
$169
23
clean
Hered brst ca rltd do panel
—
—
$2,249
23
clean
Nfct bct fng prst dna >1000
—
—
$4,278
23
clean
Gi ibs ia anti-cdtb&vinculin
—
—
$225
23
clean
Liver ds 10 biochem asy srm
—
—
$1,013
23
clean
Onc sld tum alys brca1 brca2
—
—
$6,097
23
clean
Cad cxr with interp
—
—
$153
19
clean
Onc solid tumor 30 prtn trgt
—
—
$2,627
23
clean
Exc rectal tumor endoscopic
—
—
$2,521
26
clean
Perq sacral augmt unilat inj
—
—
$1,229
25
clean
Perq sacral augmt bilat inj
—
—
$1,229
25
clean
Hc Perc Augment Sacral Bilat W Guidance
$14,690
$8,080
—
0
clean
Post vert arthrplst 1 lumbar
—
—
$2,480
24
clean
Lchg Biofire Respiratory Panel 2.1
$1,932
$1,063
—
0
clean
Nfct ds 22 trgt sars-cov-2
—
—
$841
22
clean
Neuro alzheimer cell aggregj
—
—
$4,458
23
clean
Clear eyelid gland w/heat
—
—
$315
24
clean
Neuro alzheimer quan imaging
—
—
$1,029
23
clean
Noncdm Charge Record
$600
$330
—
0
clean
Njx platelet plasma
—
—
$513
27
clean
Trluml perip athrc brchiocph
—
—
$1,007
24
clean
Hc Atherectomy Brachioceph Trunk Branch
$26,381
$14,510
—
0
clean
Trluml perip athrc iliac art
—
—
$1,087
26
clean
Hc Atherec Iliac Artery Ea W S+I
$26,381
$14,510
—
0
clean
Trgt gen seq alys pnl 311+
—
—
$7,042
23
clean
Lchg Sars-Cov-2 (Covid-19) + Influ A/B
$433
$238
—
0
clean
Nfct ds vir resp rna 3 trgt
—
—
$288
22
clean
Nfct ds vir resp rna 4 trgt
—
—
$288
22
clean
Lchg Sars-Cov-2 (Covid-19) + Influ A/B + Rsv
$538
$296
—
0
clean
Trgt gen seq alys pnl 55-74
—
—
$10,061
23
clean
Onc thyr mut alys 10 gen&37
—
—
$2,547
23
clean
Onc sld org neo dna 505 gene
—
—
$5,875
23
clean
Implt/rpl crtd sns dev total
—
—
$1,444
24
clean
Implt/rpl crtd sns dev gen
—
—
$319
24
clean
Interrogate crtd sns dev
—
—
$172
21
clean
Interrogate crtd sns w/pgrmg
—
—
$172
21
clean
Perq lamot/lam lumbar
—
—
$2,435
25
clean
Tempr
—
—
$52
24
clean
Onc lung mrna quan pcr 11&3
—
—
$7,793
23
clean
Onc brst dux carc 7 proteins
—
—
$3,817
23
clean
Crd cad alys 3 prtn plsm alg
—
—
$786
23
clean
Crd cv ds aly 4 prtn plm alg
—
—
$786
23
clean
Nfct ds bct quan antmcrb sc
—
—
$16
23
clean
Ai ds sle alys 8 igg autoant
—
—
$1,691
23
clean
Onc cutan sq cll ca mrna 40
—
—
$17,149
22
clean
Neph rna psttrnspl perph bld
—
—
$5,347
22
clean
Trgt gen seq alys pnl 83+
—
—
$10,088
22
clean
Onc neo xome&trns seq alys
—
—
$6,936
22
clean
Tear film img uni/bi w/i&r
—
—
$46
19
clean
Onc sld orgn tgsa dna 84/+
—
—
$5,875
23
clean
Onc plsm cell do&myeloma id
—
—
$4,913
22
clean
Onc sld tum crcg tum cl slct
—
—
$4,913
22
clean
Trnscth renal symp denrv bil
—
—
$1,056
27
clean
Onc prst8 mrna hoxc6 & dlx1
—
—
$1,529
23
clean
Onc pan ca alys mrd plasma
—
—
$7,887
23
clean
Hep nafld semiq evl 28 lipid
—
—
$1,598
22
clean
Psyc genom alys pnl 15 gen
—
—
$2,688
23
clean
Rx metab/pcx dna 16 gen alys
—
—
$2,688
23
clean
Rx metab/pcx dna 25 gen alys
—
—
$1,494
23
clean
Rx metab/pcx dna 27gen rx ia
—
—
$1,494
23
clean
RSA lower extr exam
—
—
$321
22
clean
Intraop oct brst/node spec
—
—
$396
19
clean
Nfct ds bct/viral trail ip10
—
—
$524
23
clean
Oct brst/node i&r per spec
—
—
$450
21
clean
Nfct ds bv&vaginitis amp prb
—
—
$241
1
clean
Iadna chlmyd&gonorr amp prb
—
—
$118
1
clean
Apol1 risk variants
—
—
$276
22
clean
Onc orop 17 dna ddpcr alg
—
—
$3,632
22
clean
BIA whole body
—
—
$286
19
clean
Neuro alys b-amyl 1-42&1-40
—
—
$526
22
clean
Onc prst8 ca alys all psa
—
—
$1,533
22
clean
Onc lung elisa 7 autoant alg
—
—
$1,696
22
clean
Neurflmnt lt chn dig ia quan
—
—
$235
22
clean
Onc urthl mrna 5 gen alg
—
—
$1,533
22
clean
Onc bldr 10 prb bldr ca
—
—
$1,810
22
clean
Onc bldr 10 prb recr bldr ca
—
—
$1,810
22
clean
Onc ovrn bchm asy 7 prtn alg
—
—
$1,810
22
clean
Onc prst8 ca img alys 128
—
—
$1,425
22
clean
Vis field assmnt tech suppt
—
—
$71
19
clean
Tgsap sl or neo dna523&rna55
—
—
$6,635
22
clean
Onc nonsm cll lng ca 37 gen
—
—
$7,061
22
clean
Neu prksn msfl ?-syncln prtn
—
—
$1,091
22
clean
Hdr elctrnc skn surf brchytx
—
—
$443
20
clean
Pfas 16 pfas compnd lc ms/ms
—
—
$401
22
clean
Hdr elctr ntrst/ntrcv brchtx
—
—
$1,196
20
clean
Gi baret esph dna mthyln aly
—
—
$3,541
22
clean
Collagen crosslinking cornea
—
—
$199
27
clean
Onc prst8 mrna 18 gen dre ur
—
—
$1,533
22
clean
Onc brst semiq meas thym kn
—
—
$652
22
clean
Onc lung flow cytmtry 5 mrk
—
—
$1,533
22
clean
Neph dbtc ckd mult eclia alg
—
—
$1,917
22
clean
Insj/rplc cardiac modulj sys
—
—
$884
26
clean
Onc sld tum dna 80 & rna 36
—
—
$5,890
22
clean
Psyc genom alys pnl 15 gen
—
—
$2,696
22
clean
Cv ds acs bld alg 5 yr score
—
—
$788
22
clean
Prgrmg eval cardiac modulj
—
—
$96
21
clean
Interro eval cardiac modulj
—
—
$117
21
clean
Waterjet prostate abltj cmpl
—
—
$2,202
28
clean
Gi malabs aat calpro pncrtc
—
—
$124
22
clean
Gly rcptr alpha1 igg srm/csf
—
—
$74
22
clean
Klhl11 antb sr/csf asy qual
—
—
$74
22
clean
Onc prst8 5 dna reg mrk pcr
—
—
$1,533
22
clean
Rx metab advrs vrnt alys 25
—
—
$841
22
clean
Impltj synth rnfcmt abdl wal
—
—
$687
26
clean
Myocrd contrast prfuj echo
—
—
$206
19
clean
Hc Echo Myocardial Perffor Ischemia Viab
$1,673
$920
—
0
clean
Abltj perc lxtr/perph nrv
—
—
$293
26
clean
Hc Cryoablation Lower Ext Periph Nrv W Img
$3,454
$1,900
—
0
clean
Abltj perc plex/trncl nrv
—
—
$125
26
clean
Hc Cryoablation Nrv Plexus Or Trunk W Img
$12,476
$6,862
—
0
clean
Insj impltbl glucose sensor
—
—
$157
27
clean
Rmvl impltbl glucose sensor
—
—
$186
27
clean
Remvl insj impltbl gluc sens
—
—
$264
27
clean
Insj aqueous drain dev 1st
—
—
$1,629
26
clean
Visual ep test for glaucoma
—
—
$139
19
clean
Onc sld tum bld/slv 648 gene
—
—
$9,079
22
clean
Hered prst8 ca gsap 23 genes
—
—
$2,631
22
clean
Fxjl abl lsr 1st 100 sq cm
—
—
$687
28
clean
Fxjl abl lsr ea addl 100sqcm
—
—
$532
26
clean
Hc Tmvi Prosthetic Valve Percutaneous
$4,800
$2,640
—
0
clean
Tmvi percutaneous approach
—
—
$2,806
28
clean
Tmvi transthoracic exposure
—
—
$3,151
28
clean
Oct mid ear i&r unilateral
—
—
$262
19
clean
Oct mid ear i&r bilateral
—
—
$262
19
clean
Prep & cannulj cdvr don lung
—
—
$925
28
clean
Mntr cdvr don lng 1st 2 hrs
—
—
$772
22
clean
Ev fempop artl revsc
—
—
$1,336
24
clean
Hc Revasc Ev Fempop W Stent
$11,311
$6,221
—
0
clean
Near ifr 2img mibmn glnd i&r
—
—
$8
19
clean
Pattern erg w/i&r
—
—
$6,392
19
clean
Esw integ wnd hlg 1st wnd
—
—
$605
28
clean
Esw integ wnd hlg ea addl
—
—
$548
24
clean
Ntrapx c ffr w/3d funcjl map
—
—
$549
22
clean
Insj/rplcmt compl iims
—
—
$1,559
26
clean
Prgrmg dev eval iims ip
—
—
$59
19
clean
Interrog dev eval iims ip
—
—
$58
19
clean
Rf spectrsc ntraop mrgn asmt
—
—
$485
19
clean
Low-level laser therapy
—
—
$257
20
clean
Antmc guide 3d print 1st gd
—
—
$268
21
clean
Antmc guide 3d print ea addl
—
—
$48
19
clean
Evac meibomian glnd heat bi
—
—
$2,123
27
clean
Hc Ttvr Perq Appr 1St Prosth
$27,361
$15,049
—
0
clean
Ttvr perq appr 1st prosth
—
—
$4,170
26
clean
Ttvr perq ea addl prosth
—
—
$1,172
26
clean
Hc Ttvr Perq Ea Addl Prosth
$12,528
$6,890
—
0
clean
Insj/rplcmt icds ss eltrd
—
—
$1,559
26
clean
Hc Insj Rplcmt Icd W Substernal Electrode
$45,493
$25,021
—
0
clean
Prgrmg dev eval icds ss ip
—
—
$152
19
clean
Interrog dev eval icds ss ip
—
—
$139
19
clean

Showing the first 200 of 20,332 code–setting items in the file, verified codes first — every row as JSON →

Findings

Service
Severity
Rule
Detail
warn
mrf_rate_without_estimate
36,449 of 36,449 percentage/algorithm rates across 889 items carry no estimated dollar amount, which the template has required since 1 January 2025 — none of them do
CPT 29505/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 83986/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 differ, so no cross-line comparison was made for this item
CPT C1751/b
info
mrf_item_fields_vary
this code and setting cover at least 9 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 10180/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 49440/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 81401/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 87305/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 P9052/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 20950/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 29515/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 67028/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 83992/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 differ, so no cross-line comparison was made for this item
CPT 86316/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 C1752/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 81402/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 36581/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 67105/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 86317/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 differ, so no cross-line comparison was made for this item
CPT 81403/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 differ, so no cross-line comparison was made for this item
CPT 11042/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 20999/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 49451/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 81404/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 87340/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 P9059/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 differ, so no cross-line comparison was made for this item
CPT 11043/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 86334/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 36589/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 81405/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 87341/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 11044/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 49465/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 86335/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 C1761/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 30300/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 81406/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 84105/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 21320/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 67700/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 49999/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 84110/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 86337/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 87385/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 92507/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 differ, so no cross-line comparison was made for this item
CPT Q4010/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 11055/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 21337/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 30901/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 36593/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 C1764/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 84120/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 92511/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 11102/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 30903/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 81479/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 differ, so no cross-line comparison was made for this item
CPT 86341/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 differ, so no cross-line comparison was made for this item
CPT 30905/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 36597/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 84132/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 86352/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 differ, so no cross-line comparison was made for this item
CPT 87449/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 differ, so no cross-line comparison was made for this item
CPT Q4116/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 11104/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 92522/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 differ, so no cross-line comparison was made for this item
CPT 67840/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 84133/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 86353/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 differ, so no cross-line comparison was made for this item
CPT C1769/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 differ, so no cross-line comparison was made for this item
CPT 11105/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 21453/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 87469/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 92523/b
info
mrf_item_fields_vary
this code and setting cover at least 14 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 31231/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 36620/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 67875/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 11106/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 86356/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 differ, so no cross-line comparison was made for this item
CPT 92524/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 differ, so no cross-line comparison was made for this item
CPT 31237/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 82040/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 86357/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 92526/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 differ, so no cross-line comparison was made for this item
CPT 11200/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 21501/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 31238/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 82042/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 87484/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 86359/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 V2785/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 31500/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 C1779/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 87491/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 31502/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 80061/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 82088/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 11400/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 84155/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 C1783/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 68700/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 82103/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 87496/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 87497/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 C1786/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 82105/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 80150/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 84165/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 86376/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 11421/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 84166/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 31575/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 86403/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 69000/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 84182/b
info
mrf_item_fields_vary
this code and setting cover at least 10 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 31576/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 51102/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 82139/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 86431/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 11440/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 69005/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 87522/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 82140/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 31579/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 69020/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 87529/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 95991/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 51700/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 82150/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 differ, so no cross-line comparison was made for this item
CPT 86581/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 C1874/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 23650/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 92610/b
info
mrf_item_fields_vary
this code and setting cover at least 9 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 31603/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 51701/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 86592/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 87533/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 51702/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 69200/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 86593/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 87535/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 96360/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 31615/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 51703/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 69209/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 82172/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 86596/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 84295/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 differ, so no cross-line comparison was made for this item
CPT 87536/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 96361/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 31622/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 51705/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 69210/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 82175/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 C1884/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 84300/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 86603/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 96365/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 C1885/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 82232/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 96366/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 80184/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 87581/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 96367/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 C1887/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 differ, so no cross-line comparison was made for this item
CPT 82247/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 differ, so no cross-line comparison was made for this item
CPT 84311/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 87591/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 96368/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 86617/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 differ, so no cross-line comparison was made for this item
CPT C1889/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 differ, so no cross-line comparison was made for this item
CPT 11730/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 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 differ, so no cross-line comparison was made for this item
CPT 84402/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 86618/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 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 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 82271/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 87624/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 11740/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 84403/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 96373/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 C1894/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 differ, so no cross-line comparison was made for this item
CPT 11750/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 82300/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 96374/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 C1895/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 52310/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 82306/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 87633/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 92950/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 96375/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 84432/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 86635/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 differ, so no cross-line comparison was made for this item
CPT 53600/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 87635/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 96376/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 32551/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 86638/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 92960/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 82330/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 C1982/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

Showing the first 200 of 3,967 findings, errors first — every finding as JSON →

04 · Checks

Where the Medicare rows do not agree with themselves

Service
Severity
Rule
Detail
MS-DRG 652
info
inp_charge_10x_payment
average charge $342,387 is 10.4× the total payment

Sources for this hospital

the files read, as fetched — not our copy of them
  1. MUP_INP_RY26_P03_V10_DY24_PrvSvc.CSV · 38.0M bytes · fetched 2026-08-21 · sha256 2ab6da15be4c… · publisher's page · public domain (US federal)
  2. MUP_OUT_RY26_P04_V10_DY24_Prov_Svc.csv · 28.1M bytes · fetched 2026-08-21 · sha256 f293918edbf6… · publisher's page · public domain (US federal)
  3. chsp-hospital-linkage-2023.csv · 1.5M bytes · fetched 2026-08-21 · sha256 a86146f10c8d… · publisher's page · public; cite AHRQ Compendium of U.S. Health Systems
  4. 2020 ZCTA to County relationship file · US Census Bureau · 2020
    tab20_zcta520_county20_natl.txt · 6.8M bytes · fetched 2026-08-21 · sha256 3ed41278d637… · publisher's page · public domain (US federal)
  5. · json · 83.5M bytes · fetched 2026-08-23 · sha256 d088a9ab14a9…

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.