Hospital · CCN 260110

Mercy Hospital Southeast

1701 Lacey St, Cape Girardeau, MO 63701 · Cape Girardeau County
Part of Southeast Health · 232 beds · 1
Metropolitan area core: primary flow within an urbanized area of 50,000 and greater

47 admission types 52 outpatient services price file: ok
Billed per dollar paid, all admissions
4.47×
$79.5M billed against $17.8M paid across 1,273 Medicare discharges; the national figure is 5.03×.
2.8%
of adults in Cape Girardeau County have medical debt in collections
9.8%
uninsured in the county · state 10.2%
$67K
median household income
5.6×
billed ÷ paid, inpatient, summed over the county's hospitals in the Medicare file (2 in the inpatient or outpatient file)ⓘ
34.7%
obesity in the countyⓘ
11.2%
diagnosed diabetes (PLACES)
6.6%
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
185
$45,982
$14,424
3.2× st 4.6×
291
Heart failure and shock with mcc
94
$30,984
$9,786
3.2× st 4.4×
193
Simple pneumonia and pleurisy with mcc
58
$38,069
$10,175
3.7× st 4.5×
189
Pulmonary edema and respiratory failure
49
$35,183
$9,522
3.7× st 5.1×
274
Percutaneous and other intracardiac procedures without mcc
42
$166,355
$22,609
7.4× st 5.2×
683
Renal failure with cc
41
$24,835
$7,157
3.5× st 4.5×
194
Simple pneumonia and pleurisy with cc
38
$25,299
$6,690
3.8× st 4.5×
177
Respiratory infections and inflammations with mcc
37
$50,120
$12,799
3.9× st 4.5×
309
Cardiac arrhythmia and conduction disorders with cc
36
$30,070
$6,153
4.9× st 4.7×
690
Kidney and urinary tract infections without mcc
35
$22,797
$6,560
3.5× st 4.5×
392
Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc
33
$21,364
$6,379
3.3× st 4.8×
065
Intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours
32
$35,210
$8,218
4.3× st 5.6×
378
Gastrointestinal hemorrhage with cc
29
$33,904
$7,784
4.4× st 4.7×
682
Renal failure with mcc
28
$37,453
$10,977
3.4× st 4.4×
641
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc
27
$22,634
$6,424
3.5× st 4.5×
064
Intracranial hemorrhage or cerebral infarction with mcc
26
$46,865
$13,737
3.4× st 4.9×
853
Infectious and parasitic diseases with o.r. procedures with mcc
25
$170,333
$39,656
4.3× st 4.4×
872
Septicemia or severe sepsis without mv >96 hours without mcc
23
$26,059
$7,975
3.3× st 4.6×
454
Combined anterior and posterior spinal fusion with cc
23
$262,532
$46,120
5.7× st 3.8×
322
Percutaneous cardiovascular procedures with intraluminal device without mcc
20
$79,161
$13,905
5.7× st 6.6×
331
Major small and large bowel procedures without cc/mcc
19
$80,628
$12,822
6.3× st 4.5×
287
Circulatory disorders except ami, with cardiac catheterization without mcc
19
$53,626
$8,978
6.0× st 5.7×
640
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc
19
$62,215
$13,820
4.5× st 4.4×
312
Syncope and collapse
19
$25,619
$6,918
3.7× st 5.3×
455
Combined anterior and posterior spinal fusion without cc/mcc
18
$233,870
$33,623
7.0× st 3.8×
310
Cardiac arrhythmia and conduction disorders without cc/mcc
18
$17,087
$4,891
3.5× st 4.6×
267
Endovascular cardiac valve replacement and supplement procedures without mcc
18
$218,102
$33,637
6.5× st 4.8×
330
Major small and large bowel procedures with cc
18
$94,655
$17,277
5.5× st 4.3×
689
Kidney and urinary tract infections with mcc
17
$31,718
$8,996
3.5× st 4.5×
481
Hip and femur procedures except major joint with cc
16
$72,808
$14,506
5.0× st 4.9×
460
Spinal fusion except cervical without mcc
14
$206,270
$28,798
7.2× st 4.8×
066
Intracranial hemorrhage or cerebral infarction without cc/mcc
14
$29,033
$5,625
5.2× st 5.9×
870
Septicemia or severe sepsis with mv >96 hours
13
$172,502
$50,612
3.4× st 4.5×
208
Respiratory system diagnosis with ventilator support <=96 hours
13
$78,512
$19,073
4.1× st 5.1×
480
Hip and femur procedures except major joint with mcc
13
$85,960
$20,861
4.1× st 4.6×
377
Gastrointestinal hemorrhage with mcc
13
$56,048
$13,698
4.1× st 4.8×
234
Coronary bypass with cardiac catheterization or open ablation without mcc
13
$237,683
$45,481
5.2× st 4.7×
314
Other circulatory system diagnoses with mcc
13
$51,395
$15,698
3.3× st 4.1×
603
Cellulitis without mcc
12
$35,261
$7,378
4.8× st 4.0×
854
Infectious and parasitic diseases with o.r. procedures with cc
12
$58,398
$14,739
4.0× st 4.4×
186
Pleural effusion with mcc
12
$38,288
$11,601
3.3× st 3.0×
812
Red blood cell disorders without mcc
12
$29,865
$7,158
4.2× st 4.3×
308
Cardiac arrhythmia and conduction disorders with mcc
12
$45,262
$9,564
4.7× st 5.0×
660
Kidney and ureter procedures for non-neoplasm with cc
12
$45,179
$10,823
4.2× st 4.1×
329
Major small and large bowel procedures with mcc
11
$125,606
$30,024
4.2× st 4.5×
552
Medical back problems without mcc
11
$28,267
$7,792
3.6× st 4.6×
176
Pulmonary embolism without mcc
11
$33,910
$6,608
5.1× st 5.1×
02 · Outpatient

Outpatient services

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

APC
Service
Services
Charge
Allowed
Billed ÷ allowed
8011
Comprehensive Observation Services
209
$18,290
$2,466
7.4×
5072
Level 2 Excision/ Biopsy/ Incision and Drainage
138
$8,217
$1,243
6.6×
5115
Level 5 Musculoskeletal Procedures
138
$77,036
$11,725
6.6×
5374
Level 4 Urology and Related Services
123
$27,912
$3,169
8.8×
5373
Level 3 Urology and Related Services
110
$18,039
$1,850
9.8×
5114
Level 4 Musculoskeletal Procedures
108
$45,770
$6,400
7.2×
5191
Level 1 Endovascular Procedures
98
$32,499
$2,927
11.1×
5361
Level 1 Laparoscopy and Related Services
92
$35,110
$5,204
6.7×
5183
Level 3 Vascular Procedures
80
$22,313
$2,887
7.7×
5375
Level 5 Urology and Related Services
68
$26,798
$4,734
5.7×
5302
Level 2 Upper GI Procedures
62
$8,028
$1,741
4.6×
5112
Level 2 Musculoskeletal Procedures
51
$11,480
$1,470
7.8×
5073
Level 3 Excision/ Biopsy/ Incision and Drainage
50
$13,720
$2,433
5.6×
5213
Level 3 Electrophysiologic Procedures
49
$101,963
$21,264
4.8×
5362
Level 2 Laparoscopy and Related Services
44
$68,202
$9,412
7.2×
5193
Level 3 Endovascular Procedures
39
$63,425
$10,056
6.3×
5431
Level 1 Nerve Procedures
39
$19,497
$1,766
11.0×
5223
Level 3 Pacemaker and Similar Procedures
37
$31,607
$9,762
3.2×
5116
Level 6 Musculoskeletal Procedures
36
$100,501
$15,304
6.6×
5341
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures
36
$27,705
$3,165
8.8×
5192
Level 2 Endovascular Procedures
31
$38,943
$5,229
7.4×
5154
Level 4 Airway Endoscopy
29
$37,134
$3,332
11.1×
5092
Level 2 Breast/Lymphatic Surgery and Related Procedures
23
$41,248
$5,966
6.9×
5113
Level 3 Musculoskeletal Procedures
21
$33,030
$2,961
11.2×
5465
Level 5 Neurostimulator and Related Procedures
21
$128,260
$27,062
4.7×
5224
Level 4 Pacemaker and Similar Procedures
17
$81,731
$17,787
4.6×
5155
Level 5 Airway Endoscopy
17
$54,345
$6,262
8.7×
5232
Level 2 ICD and Similar Procedures
16
$116,104
$30,009
3.9×
5471
Implantation of Drug Infusion Device
16
$75,343
$16,283
4.6×
5182
Level 2 Vascular Procedures
16
$10,135
$1,465
6.9×
5194
Level 4 Endovascular Procedures
14
$88,045
$16,010
5.5×
5091
Level 1 Breast/Lymphatic Surgery and Related Procedures
13
$23,952
$3,274
7.3×
5222
Level 2 Pacemaker and Similar Procedures
11
$23,843
$7,773
3.1×
5164
Level 4 ENT Procedures
—
—
—
—
5432
Level 2 Nerve Procedures
—
—
—
—
5461
Level 1 Neurostimulator and Related Procedures
—
—
—
—
5462
Level 2 Neurostimulator and Related Procedures
—
—
—
—
5313
Level 3 Lower GI Procedures
—
—
—
—
5464
Level 4 Neurostimulator and Related Procedures
—
—
—
—
5153
Level 3 Airway Endoscopy
—
—
—
—
5627
Level 7 Radiation Therapy
—
—
—
—
5416
Level 6 Gynecologic Procedures
—
—
—
—
5414
Level 4 Gynecologic Procedures
—
—
—
—
5331
Complex GI Procedures
—
—
—
—
5231
Level 1 ICD and Similar Procedures
—
—
—
—
5303
Level 3 Upper GI Procedures
—
—
—
—
5372
Level 2 Urology and Related Services
—
—
—
—
5212
Level 2 Electrophysiologic Procedures
—
—
—
—
5184
Level 4 Vascular Procedures
—
—
—
—
5165
Level 5 ENT Procedures
—
—
—
—
5377
Level 7 Urology and Related Services
—
—
—
—
5376
Level 6 Urology and Related Services
—
—
—
—
03 · Its own price file

What the hospital's price-transparency file says

Found via /cms-hpt.txt, the file itself ↗ read as csv-tall, last updated 6/11/2026, template 3.0.0, 510,895 rows scanned, 3,315 distinct code–setting items kept. 3,987 findings against it.

Service
Code
Listed
Cash
Negotiated
Rates
Checks
Dna Hea 35 Ag 11 Bld Grp
$561
$365
$731
96
clean
Nash Fibrosure
$629
$409
$551
96
clean
M Protein Isotype Maldi-Tof Ms
$191
$124
$70
96
clean
Sacroplasty Unilateral
$11,313
$7,353
$7,693
53
clean
Sacroplasty Bilateral
$16,969
$11,030
$11,539
56
clean
Resp Pathogen Ampl Probe 22, Biofire Rp2.1
$1,525
$991
$675
98
clean
Trnscth Renal Symp Denrv Bil
$14,195
$9,227
$9,653
56
clean
Instlj Fecal Microbiota Ssp Rct Nma Lwr GI Tr
$293
$190
$199
55
clean
Tcat Insj Perm Dual Chamber Ldls Pm Compl Sys
$64,050
$41,633
$31,833
91
clean
Tcat Insj Perm 2chmbr Ldls Pm R Atr Pm Compnt
$64,050
$41,633
$36,761
87
clean
Tcat Ins 2chmbr Ldls Pm Rv
$64,050
$41,633
$31,833
91
clean
Prgrmg Dev Eval Ldls Pm Sys 2chmbr in Person
$222
$144
$62
87
clean
Tcat Insj Perm 1chmbr Ldls Pacemaker R Atrial
$28,573
$18,572
$21,856
91
clean
Fine Needle Aspir W Biopsy W US Guide
$4,035
$2,623
$696
312
clean
Fine Needle Asp W Biop W US Guide Ea Add Mlp
$50
$33
$131
190
clean
Fine Needle Aspir W Biopsy W CT Guide
$2,249
$1,462
$1,529
56
clean
Fine Needle Asp W Biop W CT Guide Ea Addtl
$323
$210
$220
53
clean
Fine Needl Asp Bx , W/O Img Guid 1st Les
$552
$359
$399
266
clean
Drainage Cath Soft Tissue W/Guidance
$703
$457
$478
56
clean
Plcmnt Soft Tiss Loc Device
$1,957
$1,272
$1,331
56
clean
Plcmnt Soft Tiss Loc Device Ea Addtl
$1,663
$1,081
$1,131
56
clean
Acne Surgery of Skin Abscess Pf
$63
$41
$194
154
clean
I/D Abscess Simple
$744
$484
$197
247
clean
I/D Abscess Complicated
$848
$551
$405
302
clean
I/D Pilondial Cyst Simple Mlp
$109
$71
$682
231
clean
Rfb Subq Tissue Simple
$600
$390
$408
56
clean
I&D Foreign Body Complicated
$4,362
$2,835
$2,966
53
clean
I/D Hematoma Fluids
$5,342
$3,472
$1,623
247
clean
Punct Asp Abcess Hematoma Mlp
$100
$65
$399
247
clean
I&D Post OP Wound
$1,540
$1,001
$1,271
252
clean
Debrid Subq 1st 20sqcm or Less
$1,944
$1,264
$1,322
55
clean
Debrid Musc/Fasc1st20 Sqcm or Less
$1,425
$926
$969
55
clean
Debride Bone 1st 20sqcm or Less
$4,702
$3,056
$3,197
55
clean
Debrid Subq Ea Add 20 Sqcm or Part
$1,869
$1,215
$1,271
55
clean
Debrid Musc Fasc Ea Add 20 Sqcm or Part
$1,377
$895
$936
56
clean
Debrid Bone Ea Add 20 Sqcm or Part
$251
$163
$171
56
clean
Tangntl Bx Skin Single Les
$1,220
$793
$399
293
clean
Tangntl Bx Skin Ea Sep/Addl
$87
$57
$39
130
clean
Punch Bx Skin Single Lesion
$685
$445
$399
247
clean
Punch Bx Skin Ea Sep/Addl
$104
$68
$51
130
clean
Incis Bx Skn Single Les
$685
$445
$522
252
clean
Incis Bx Skn Ea Sep/Addl
$124
$81
$84
53
clean
Rem Skin Tags Up to 15 Lesions
$277
$180
$194
154
clean
Shav Les Trnk/Ext 0.5cm or Less Pf
$41
$27
$386
154
clean
Shav Les Trnk or Ex/.6cm-1.Cm Pf
$62
$40
$194
154
clean
Shav Les Trnk or Ex/1.1-2.0cm Pf
$85
$55
$191
154
clean
Shav Les Trnk or Ex/Over 2.0cm Pf
$86
$56
$386
154
clean
Shav Les Sclp/Nk/Hd/Ft/<.05 Pf
$46
$30
$194
154
clean
Shav Les Sclp/Nk/Hd/Ft/0.6-1.0cm Pf
$58
$38
$188
154
clean
Shav Les Sclp/Nk/Hd/Ft/1.1-2.0cm Pf
$90
$59
$188
142
clean
Shav Sk Les Face/Een/Lip 0.5/<
$277
$180
$188
142
clean
Shav Les Face/Hd/.6cm-1.0cm Pf
$86
$56
$188
154
clean
Shav Les Face/Hd/1.1cm-2.0cm Pf
$90
$59
$375
154
clean
Shav.Les,Face/Hd/ Over 2.0cm
$552
$359
$375
154
clean
Exc Ben Les Ext/Tr 0.5cm/< Mlp
$88
$57
$662
244
clean
Exc Ben Les Ext/Tr 0.6to1.0cm Mlp
$110
$72
$386
252
clean
Exc Ben Les 1.1 to 2.0cm
$974
$633
$662
154
clean
Exc Ben Les Ext/Tr 2.1to 3.0 Cm Pf
$183
$119
$662
154
clean
Exc Ben Les Ext/Tr 3.1to4.0cm Mlp
$171
$111
$1,570
259
clean
Exc Ben Les Ext/Tr >4.0cm Mlp
$259
$168
$1,525
256
clean
Exc Ben Les Sc/Nk/Hds 0.5/<Cm
$2,243
$1,458
$1,525
150
clean
Exc Ben Les Sc/Nk/Hds 0.6to1.0 Pf
$134
$87
$662
154
clean
Exc Ben Les Sc/Nk/Hds 1.1to 2
$2,243
$1,458
$1,570
154
clean
Exc Ben Les Sc/Nk/Hds 2.1 to 3 Cm Pf
$190
$124
$1,525
161
clean
Exc Ben Les F/Een/Lp 0.5/<
$974
$633
$662
150
clean
Exc Ben Les F/Een/Lp 0.6to1.0
$974
$633
$662
154
clean
Exc Ben Les F/Een/Lp 1.1 to 2
$974
$633
$662
154
clean
Exc.Skin/Sq Tiss Hidr/Pernal/Sp-Int Rp
$3,932
$2,556
$2,713
142
clean
Exc Mal Les Trnk/Ext 0.5cm Or<
$974
$633
$662
142
clean
Exc Mal Les Trnk/Ext 0.6 to 1.0cm Pf
$181
$118
$662
154
clean
Exc Mal Les Ext/Tr 1.1 to 2.0
$552
$359
$375
154
clean
Exc.Malig.Les.Tr,2.1 to 3.0 Cm
$974
$633
$696
195
clean
Exc Mal Les Tr/Arms/Legs 3.1 to 4cm Pf
$259
$168
$662
154
clean
Exc Malig Les Tr Arm Leg Over 4.0cm
$2,243
$1,458
$1,570
154
clean
Exc Mal Les Sc/Nk/Hnd 0.6 to 1.0 Cm
$974
$633
$662
154
clean
Excision Lesion 1.1 to 2.0 Cm
$974
$633
$662
154
clean
Exc Malig Les Tr Arm Leg 2.1-3.Cm Pf
$254
$165
$1,570
154
clean
Excision Lesion Mal S,N,H,G 3.1 to 4.0 Cm
$2,243
$1,458
$1,623
177
clean
Exc Mal Les S/N/H/F/G >4.0cm
$3,932
$2,556
$2,713
142
clean
Exc Mal Les Inc Marg F/Ear/Eyelid/N/Lp.6 to 1.0cm Pf
$189
$123
$662
154
clean
Exc Malig Les Face 1.1 to 2.0 Cm
$974
$633
$662
154
clean
Exc Milgnt Les Face Ears 0.6-3.0 Cm Pf
$277
$180
$1,548
142
clean
Exc Malig Les Face 3.1 to 4.0 Cm
$2,243
$1,458
$1,623
177
clean
Avulsion Nail Plate Single
$470
$306
$207
151
clean
Avulsion Nail Plate Ea Add
$69
$45
$47
53
clean
Exc Nail/Matrix Perm Rem
$1,280
$832
$870
56
clean
Biopsy Nail Unit
$974
$633
$696
195
clean
Inj Intralesional Up to/Inc 7 Lesions
$276
$179
$195
252
clean
Inj Intralesional More Than 7
$277
$180
$197
177
clean
Simp Rep S/Nk/Tr/Ext 2.5/<
$277
$180
$196
252
clean
Int Rep Sc/Ax/Tr/Ext 2.5/<
$552
$359
$399
317
clean
Int Rep Sc/Ax/Tr/Ext 2.6 to 7.5cm
$24,488
$15,917
$399
219
clean
Int Rep Sc/Ax/Tr/Ext 7.6 to 12.5
$552
$359
$399
219
clean
Int Rep Sc/Ax/Tr/Ext 12.6to20 Pf
$26,529
$17,244
$1,623
65
clean
Int Rep Nk/Hds/Ft/Eg 2.5cm/<
$552
$359
$386
154
clean
Int Rep Nk/Hds/Ft/Eg 2.6 to 7.5cm
$26,529
$17,244
$399
219
clean
Int Rep Nk/Hds/Ft/Eg 7.6to12.5 Pf
$33,069
$21,495
$2,854
65
clean
Int Rep F/Een/Lp/Muc 2.5cm/<
$31,455
$20,445
$399
219
clean
Int Rep F/Een/Lp/Muc 2.6to5.0
$552
$359
$375
154
clean
Int Rep F/Een/Lp/Muc 5.1to7.5
$552
$359
$375
142
clean
Repair Complex Trunk 1.1-2.5 Cm
$40,507
$26,329
$3,847
65
clean
Cmplx Rep Trunk 2.6 to 7.5 Cm Pf
$45,959
$29,873
$3,847
65
clean
Cmplx Rep Trunk Ea Addl 5.0cm/<
$32,954
$21,420
$726
54
clean
Cmplx Rep Sc/Ext 1.1 to 2.5
$869
$565
$412
142
clean
Cmplx Rep Sc/Ext 2.6 to 7.5 Pf
$40,645
$26,419
$591
207
clean
Cmplx Rep Sc/Ext Ea Add 5.0/< Pf
$40,645
$26,419
$6,525
65
clean
Cmplx Rep F/Nk/Hds/Ft 2.6to7.5 Pf
$406
$264
$412
142
clean
Secondary Closure Surg Wound/Dehsn Xtnsv/Comp
$9,011
$5,857
$3,482
65
clean
App Skn Sub Trk/Arm/Leg 1st 25sqcm<Twsa 100 Sqcm<
$6,023
$3,915
$4,096
55
clean
App Skn Sub Trk/Arm/Leg Ead 25sqcm<Twsa 100 Sqcm<
$3,011
$1,957
$2,047
56
clean
App Skn Sub Trk/Arm/Leg 1st 100sqcm Twsa >=100 Sqcm
$9,924
$6,451
$6,748
56
clean
App Skn Sub Trk/Arm/Leg Ead 100sqcm Twsa >=100 Sqcm
$4,962
$3,225
$3,374
60
clean
App Skn Sub Hd/Nk/Hnd/Ft 1st 25sqcm<Twsa 100 Sqcm<
$6,023
$3,915
$4,096
55
clean
App Skn Sub Hd/Nk/Hnd/Ft Ead 25sqcm<Twsa 100 Sqcm<
$3,011
$1,957
$2,047
56
clean
App Skn Sub Hd/Nk/Hnd/Ft 1st 100sqcm< Twsa>=100 Sqcm
$6,023
$3,915
$4,096
53
clean
App Skn Sub Hd/Nk/Hnd/Ft Ead 100sqcm Twsa>=100 Sqcm
$3,011
$1,957
$2,047
53
clean
Removal Sutures/Staples W/O Anes Mlp
$11
$7
$9
130
clean
Burn Drsg/Debr WO Anes Small
$522
$339
$355
110
clean
Burn Drsg/Debr WO Anes Med
$738
$480
$502
110
clean
Burn Drsg/Debr WO Anes Large
$714
$464
$486
110
clean
Destruction Premalignant Lesion 1st
$277
$180
$194
154
clean
Destruction Premalignant Lesion 2-14 Ea
$22
$14
$11
93
clean
Destruction Premalignant Lesion 15/>
$552
$359
$375
154
clean
Destruct Benign Lesion Up to 14 Pf
$84
$55
$194
154
clean
Destruction Benign Lesion, 15 or More
$277
$180
$194
154
clean
Chemical Cautery Wound
$404
$263
$197
247
clean
Dest Mal Les Trnk/Arm/Leg.6 to 1.0cm
$277
$180
$197
195
clean
Dest Mal Les Trnk/Arm/Leg 1.1 to 2.0cm
$277
$180
$194
154
clean
Dest ,Malig Les Tr/Arm/Leg 2.01-3.0 Cm
$277
$180
$194
154
clean
Destr Malig Trunk,Extrem 3.1-4 C
$552
$359
$399
177
clean
Dest,Mal Les ,Trunk/Arm/Leg Les Dia>4.0cm Pf
$187
$122
$375
142
clean
Dest Mal Les Sclp/Nk/Hnd/Ft/Gen.6 to 1.0cm
$277
$180
$188
154
clean
Dest Mal Les Sclp/Nk/Hnd/Ft/Gen 1.1-2cm Pf
$187
$122
$194
154
clean
Destr Malig Les Sc/Nk/Hd/Ft 2.1 to 3.0cm
$552
$359
$375
154
clean
Dest Mal Les,Sc/Nk/Hd/Ft/Gen Dia 3.1-4.0cm
$552
$359
$375
154
clean
Dest Mal F/Ear/Eyelid/N/Lip.5cm/<
$277
$180
$191
150
clean
Dest Mal F/Ear/Eyelid/N/Lip.6 to 1.0cm
$552
$359
$199
154
clean
Destr Malig Les F/Een/Lips 1.1 to 2.0cm
$552
$359
$199
154
clean
Aspiration Cyst Breast
$1,464
$952
$696
247
clean
Aspiration Cyst Breast Ea Add
$802
$521
$22
130
clean
Mastotomy I/D Abs Deep
$2,243
$1,458
$1,570
231
clean
Bx Breast Stereotactic Percutaneous
$3,083
$2,004
$1,623
247
clean
Bx Breast Stereotactic Perc Ea Addtl
$2,313
$1,503
$1,573
55
clean
Bx Breast Ultrasound Percutaneous
$3,083
$2,004
$2,096
55
clean
Bx Breast Ultrasound Perc Ea Addtl
$2,313
$1,503
$1,573
55
clean
Bx Breast MRI Percutaneous
$3,083
$2,004
$2,096
56
clean
Bx Breast MRI Perc Ea Addtl
$2,313
$1,503
$1,573
56
clean
Biopsy of Breast Open Incisional
$5,275
$3,429
$3,693
231
clean
Exc Breast Lesion Open 1 or >
$5,275
$3,429
$376
182
clean
Exc Breast Lesion Marker Single
$5,275
$3,429
$3,693
231
clean
Exc Breast Lesion Marker Ea Add
$256
$166
$133
123
clean
Plcmnt Breast Loc Device Mamm
$2,086
$1,356
$1,418
55
clean
Plc Breast Loc Device Mamm Ea Addtl
$323
$210
$220
55
clean
Plcmnt Breast Loc Device Stereotactic
$432
$281
$294
56
clean
Plcmnt Breast Loc Device Stere Ea Addtl
$323
$210
$220
56
clean
Plcmnt Breast Loc Device Ultrasound
$986
$641
$670
55
clean
Plc Breast Loc Device Ultrasound Ea Addtl
$323
$210
$220
55
clean
Plcmnt Breast Loc Device MRI
$432
$281
$294
56
clean
Plc Breast Loc Device MRI Ea Addtl
$323
$210
$220
56
clean
Mastectomy Partial
$5,275
$3,429
$3,693
231
clean
Mastectomy Simple Complete
$9,024
$5,866
$6,317
231
clean
Unlisted Procedure Breast
$5,329
$3,464
$3,624
56
clean
Bx Muscle Percutaneous
$2,195
$1,427
$1,493
55
clean
Bx Bone Superficial
$2,195
$1,427
$1,493
55
clean
Bx Bone Deep
$3,513
$2,283
$2,389
55
clean
Open Bone Biopsy, Superficial
$9,577
$6,225
$6,512
53
clean
Bone Biopsy Excisional
$9,577
$6,225
$3,844
88
clean
Inj Sinus Tract
$1,464
$952
$996
56
clean
Inj Thera Carpal Canal
$410
$267
$287
252
clean
Inj Sgl Ten Sheath/Lig/Apo
$410
$267
$279
252
clean
Inj Trigger Pt 1 or 2 Musc
$410
$267
$287
252
clean
Inj Trigger Pt 3 or > Musc
$410
$267
$279
308
clean
Ndl Insj W/O Njx 1 or 2 Musc
$90
$59
$48
148
clean
Ndl Insj W/O Njx 3+ Musc
$97
$63
$48
148
clean
Asp/Inj Small Jt WO US Guid
$523
$340
$302
300
clean
Asp/Inj Small Jt W US Guid
$410
$267
$287
252
clean
Asp/Inj Intermed Jt WO US Guid
$523
$340
$302
308
clean
Asp/Inj Intermed Jt W US Guid
$2,356
$1,531
$1,649
110
clean
Asp/Inj Major Jt WO US Guid
$410
$267
$302
357
clean
Asp/Inj Major Jt W US Guid
$961
$625
$307
302
clean
Appl Halo W Rem Cranial
$2,172
$1,412
$1,477
53
clean
Ablat Bone Tumor Radiofreq Perc
$16,530
$10,745
$11,240
57
clean
Ablate Bone Tumor Cryo Perc
$8,508
$5,530
$5,785
57
clean
Exc Tumor Soft Tiss Neck/Ant Th Sq < 3cm Pf
$379
$246
$294
94
clean
Biopsy Soft Tissue Back or Flank Super
$2,195
$1,427
$1,493
56
clean
Vertebroplasty Cervicothoracic W Biopsy
$11,423
$7,425
$7,768
56
clean
Vertebroplasty Lumbrosacral W Biopsy
$11,423
$7,425
$7,768
56
clean
Vertebroplasty Addtl Vert Body
$1,168
$759
$794
56
clean
Vertebral Augmentation Thoracic
$27,755
$18,041
$18,873
56
clean
Vertebral Augmentation Lumbar
$27,755
$18,041
$18,873
56
clean
Vertebral Augmentation Ea Addtl
$13,877
$9,020
$9,436
57
clean
Unlisted Proc Abd/Musculoskei
$2,195
$1,427
$1,493
53
clean
Arthrogram Shoulder Inj
$1,209
$786
$822
55
clean
Arthrogram Elbow Inj
$446
$290
$303
55
clean
Exc Tumor Forearm Wrist<3cm
$2,243
$1,458
$1,525
161
clean
Inj Proc Wrist Arthro
$366
$238
$249
55
clean
I/D Finger Abcess Simple
$362
$235
$246
56
clean
Arthrogram Hip Inj WO Anes
$533
$346
$362
55
clean
Inj Sacroiiac Joint Bil
$2,240
$1,456
$1,523
56
clean
Exc Thigh/Knee Les Sc < 3 Cm
$2,243
$1,458
$1,548
142
clean

Showing the first 200 of 3,315 code–setting items in the file, verified codes first — every row as JSON →

Findings

Service
Severity
Rule
Detail
warn
mrf_negotiated_above_gross_systematic
881 of 2,392 comparable items (37%) 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 $3,324 exceeds the gross charge $561
warn
mrf_rate_without_estimate
18,328 of 18,328 percentage/algorithm rates across 863 items carry no estimated dollar amount, which the template has required since 1 January 2025 — none of them do
CPT 12001/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 33229/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 51040/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 80053/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 82634/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 86003/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 87389/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 96360/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 J3105/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
MS-DRG 177/i
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 12031/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 33233/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 38221/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 70120/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 74455/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 80061/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 87400/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 92933/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 G0008/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 J3111/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
MS-DRG 178/i
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 12032/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 33234/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 38222/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 51101/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 70130/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 80069/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 82642/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 86005/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 87425/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 96361/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 J3230/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
MS-DRG 179/i
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 12034/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 38500/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 51102/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 70140/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 74740/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 80074/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 82652/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 86008/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 92937/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 G0009/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 J3240/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
MS-DRG 180/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 12035/o
info
mrf_item_fields_vary
this code and setting cover at least 3 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 38505/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 51600/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 70150/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 80076/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 86015/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 87427/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 96365/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 G0179/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 J3243/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
MS-DRG 181/i
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 12041/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 33241/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 38525/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 51610/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 70160/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 75571/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 80143/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 82653/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 87449/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 92941/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 96366/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 G0180/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 J3260/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
MS-DRG 184/i
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 12042/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 38531/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 51700/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 70200/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 75572/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 80145/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 82657/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 86021/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 96367/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 J3262/o
info
mrf_item_fields_vary
this code and setting cover at least 10 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
MS-DRG 186/i
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 12044/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 33244/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 51701/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 75573/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 80150/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 82668/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 86022/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 87468/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 92943/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 G0238/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 J3290/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
MS-DRG 187/i
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 12051/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 33249/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 38570/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 51702/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 70210/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 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 80151/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 82670/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 86036/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 96372/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 J3301/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
MS-DRG 189/i
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 12052/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 33262/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 38571/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 70220/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 87469/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 92945/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 G0239/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 J3358/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
MS-DRG 190/i
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 12053/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 33263/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 38745/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 51703/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 70240/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 75625/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 80155/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 82671/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 86037/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 87476/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 96374/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 J3360/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
MS-DRG 191/i
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 13100/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 33264/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 38792/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 80156/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 86038/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 92950/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 96375/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 G0257/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 J3373/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
MS-DRG 192/i
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 13101/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 33274/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 38900/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 51705/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 70250/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 75630/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 80158/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 82677/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 86039/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 87478/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 G0260/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 J3374/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
MS-DRG 193/i
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 13102/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 38999/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 51715/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 75635/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 80159/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 82679/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 86041/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 87480/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 92953/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 96377/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 J3380/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
MS-DRG 194/i
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 13120/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 33275/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 40490/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 51720/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 70260/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 80162/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 82693/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 92960/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 96401/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 G0269/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 J3410/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
MS-DRG 195/i
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 13121/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 33285/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 41899/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 75710/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 80164/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 82705/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 86042/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 87481/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 G0277/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 J3411/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
MS-DRG 196/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 33286/o
info
mrf_item_fields_vary
this code and setting cover at least 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 42400/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 51785/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 70328/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 80165/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 82710/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 86043/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 92972/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 96402/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 G0279/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 J3415/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
MS-DRG 197/i
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 3,987 findings, errors first — every finding as JSON →

Sources for this hospital

the files read, as fetched — not our copy of them
  1. MUP_INP_RY26_P03_V10_DY24_PrvSvc.CSV · 38.0M bytes · fetched 2026-08-21 · sha256 2ab6da15be4c… · publisher's page · public domain (US federal)
  2. MUP_OUT_RY26_P04_V10_DY24_Prov_Svc.csv · 28.1M bytes · fetched 2026-08-21 · sha256 f293918edbf6… · publisher's page · public domain (US federal)
  3. chsp-hospital-linkage-2023.csv · 1.5M bytes · fetched 2026-08-21 · sha256 a86146f10c8d… · publisher's page · public; cite AHRQ Compendium of U.S. Health Systems
  4. 2020 ZCTA to County relationship file · US Census Bureau · 2020
    tab20_zcta520_county20_natl.txt · 6.8M bytes · fetched 2026-08-21 · sha256 3ed41278d637… · publisher's page · public domain (US federal)
  5. · csv-tall · 19.5M bytes · fetched 2026-08-23 · sha256 0aa2b9213278…

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.