Hospital · CCN 260138

St Lukes Hospital Of Kansas City

4401 Wornall Road, Kansas City, MO 64111 · Jackson County
Part of Saint Lukes Health System · 466 beds · 2
Metropolitan area core: primary flow within an urbanized area of 50,000 and greater

128 admission types 64 outpatient services price file: ok 3 Medicare-file findings
Billed per dollar paid, all admissions
5.44×
$497.4M billed against $91.5M paid across 3,450 Medicare discharges; the national figure is 5.03×.
6.3%
of adults in Jackson County have medical debt in collections
11.1%
uninsured in the county · state 10.2%
$66K
median household income
7.3×
billed ÷ paid, inpatient, summed over the county's hospitals in the Medicare file (10 in the inpatient or outpatient file)ⓘ
37.2%
obesity in the countyⓘ
12.1%
diagnosed diabetes (PLACES)
6.2%
coronary heart disease (PLACES)
—
median age · — below poverty (ACS)
01 · Admissions

What it billed Medicare, by admission type

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

DRG
Admission
Discharges
Charge
Paid
Billed ÷ paid
274
Percutaneous and other intracardiac procedures without mcc
180
$108,857
$26,815
4.1× st 5.2×
291
Heart failure and shock with mcc
162
$81,730
$13,203
6.2× st 4.4×
267
Endovascular cardiac valve replacement and supplement procedures without mcc
119
$159,397
$38,330
4.2× st 4.8×
871
Septicemia or severe sepsis without mv >96 hours with mcc
104
$188,874
$26,638
7.1× st 4.6×
266
Endovascular cardiac valve replacement and supplement procedures with mcc
85
$219,070
$54,115
4.0× st 4.8×
065
Intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours
83
$66,925
$10,993
6.1× st 5.6×
064
Intracranial hemorrhage or cerebral infarction with mcc
65
$113,851
$19,303
5.9× st 4.9×
699
Other kidney and urinary tract diagnoses with cc
64
$58,298
$11,619
5.0× st 4.2×
219
Cardiac valve and other major cardiothoracic procedures without cardiac catheterization
59
$340,632
$69,866
4.9× st 4.3×
286
Circulatory disorders except ami, with cardiac catheterization with mcc
58
$137,683
$24,381
5.6× st 4.9×
025
Craniotomy and endovascular intracranial procedures with mcc
53
$186,673
$48,644
3.8× st 3.8×
552
Medical back problems without mcc
50
$55,916
$10,155
5.5× st 4.6×
690
Kidney and urinary tract infections without mcc
48
$54,126
$8,960
6.0× st 4.5×
309
Cardiac arrhythmia and conduction disorders with cc
46
$42,874
$7,773
5.5× st 4.7×
378
Gastrointestinal hemorrhage with cc
43
$59,773
$10,368
5.8× st 4.7×
177
Respiratory infections and inflammations with mcc
43
$97,299
$15,249
6.4× st 4.5×
236
Coronary bypass without cardiac catheterization without mcc
43
$208,520
$36,683
5.7× st 4.8×
220
Cardiac valve and other major cardiothoracic procedures without cardiac catheterization
40
$221,018
$47,321
4.7× st 4.1×
392
Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc
40
$72,116
$9,201
7.8× st 4.8×
322
Percutaneous cardiovascular procedures with intraluminal device without mcc
38
$126,512
$15,549
8.1× st 6.6×
481
Hip and femur procedures except major joint with cc
35
$117,789
$18,703
6.3× st 4.9×
314
Other circulatory system diagnoses with mcc
34
$121,849
$22,272
5.5× st 4.1×
023
Craniotomy with major device implant or acute complex cns principal diagnosis with mcc o
34
$214,110
$46,972
4.6× st 4.3×
252
Other vascular procedures with mcc
33
$202,192
$28,461
7.1× st 4.9×
640
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc
32
$76,278
$13,142
5.8× st 4.4×
193
Simple pneumonia and pleurisy with mcc
32
$93,722
$13,197
7.1× st 4.5×
164
Major chest procedures with cc
32
$112,964
$26,207
4.3× st 4.2×
330
Major small and large bowel procedures with cc
32
$144,462
$25,583
5.6× st 4.3×
689
Kidney and urinary tract infections with mcc
30
$72,409
$11,767
6.2× st 4.5×
310
Cardiac arrhythmia and conduction disorders without cc/mcc
30
$31,011
$6,092
5.1× st 4.6×
321
Percutaneous cardiovascular procedures with intraluminal device with mcc or 4+ arteries/
30
$194,205
$37,402
5.2× st 5.9×
698
Other kidney and urinary tract diagnoses with mcc
29
$95,992
$19,977
4.8× st 4.5×
853
Infectious and parasitic diseases with o.r. procedures with mcc
29
$426,821
$70,974
6.0× st 4.4×
308
Cardiac arrhythmia and conduction disorders with mcc
28
$99,032
$14,404
6.9× st 5.0×
641
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc
28
$67,546
$8,553
7.9× st 4.5×
086
Traumatic stupor and coma <1 hour with cc
28
$66,422
$13,286
5.0× st 4.8×
603
Cellulitis without mcc
27
$51,415
$10,383
5.0× st 4.0×
235
Coronary bypass without cardiac catheterization with mcc
27
$268,060
$48,640
5.5× st 4.5×
377
Gastrointestinal hemorrhage with mcc
27
$115,045
$16,119
7.1× st 4.8×
253
Other vascular procedures with cc
26
$126,216
$24,220
5.2× st 4.3×
163
Major chest procedures with mcc
26
$244,963
$46,788
5.2× st 4.3×
243
Permanent cardiac pacemaker implant with cc
26
$112,131
$23,228
4.8× st 5.0×
273
Percutaneous and other intracardiac procedures with mcc
25
$238,260
$42,518
5.6× st 7.7×
269
Aortic and heart assist procedures except pulsation balloon without mcc
25
$152,111
$39,379
3.9× st 4.5×
101
Seizures without mcc
25
$82,434
$11,913
6.9× st 4.9×
315
Other circulatory system diagnoses with cc
25
$63,869
$11,035
5.8× st 4.9×
194
Simple pneumonia and pleurisy with cc
25
$67,474
$8,975
7.5× st 4.5×
391
Esophagitis, gastroenteritis and miscellaneous digestive disorders with mcc
25
$91,657
$13,234
6.9× st 4.6×
280
Acute myocardial infarction, discharged alive with mcc
24
$124,754
$18,457
6.8× st 4.8×
682
Renal failure with mcc
23
$93,236
$15,812
5.9× st 4.4×
190
Chronic obstructive pulmonary disease with mcc
23
$95,369
$13,484
7.1× st 5.1×
312
Syncope and collapse
22
$71,531
$10,884
6.6× st 5.3×
003
Ecmo or tracheostomy with mv >96 hours or principal diagnosis except face, mouth and nec
22
$1,119,192
$188,737
5.9× st 3.5×
027
Craniotomy and endovascular intracranial procedures without cc/mcc
22
$124,802
$22,031
5.7× st 4.6×
981
Extensive o.r. procedures unrelated to principal diagnosis with mcc
22
$230,704
$45,709
5.0× st 4.4×
038
Extracranial procedures with cc
22
$83,918
$13,965
6.0× st 6.0×
287
Circulatory disorders except ami, with cardiac catheterization without mcc
22
$79,980
$11,658
6.9× st 5.7×
329
Major small and large bowel procedures with mcc
21
$340,731
$51,564
6.6× st 4.5×
026
Craniotomy and endovascular intracranial procedures with cc
21
$171,520
$28,155
6.1× st 4.1×
435
Malignancy of hepatobiliary system or pancreas with mcc
21
$84,820
$16,438
5.2× st 4.3×
189
Pulmonary edema and respiratory failure
21
$124,678
$15,611
8.0× st 5.1×
467
Revision of hip or knee replacement with cc
20
$201,451
$30,606
6.6× st 4.3×
406
Pancreas, liver and shunt procedures with cc
20
$223,196
$29,699
7.5× st 4.7×
394
Other digestive system diagnoses with cc
19
$64,926
$10,151
6.4× st 4.5×
445
Disorders of the biliary tract with cc
19
$59,528
$10,825
5.5× st 5.1×
178
Respiratory infections and inflammations with cc
19
$64,110
$9,649
6.6× st 5.0×
001
Heart transplant or implant of heart assist system with mcc
19
$1,165,913
$248,320
4.7× st 3.9×
872
Septicemia or severe sepsis without mv >96 hours without mcc
18
$68,811
$10,924
6.3× st 4.6×
522
Hip replacement with principal diagnosis of hip fracture without mcc
18
$117,527
$20,255
5.8× st 4.6×
024
Craniotomy with major device implant or acute complex cns principal diagnosis without mc
18
$149,740
$38,144
3.9× st 3.7×
304
Hypertension with mcc
18
$90,799
$13,193
6.9× st 4.9×
070
Other cerebrovascular disorders with mcc
17
$144,976
$20,121
7.2× st 4.5×
812
Red blood cell disorders without mcc
17
$64,932
$9,406
6.9× st 4.3×
948
Signs and symptoms without mcc
16
$61,816
$9,450
6.5× st 4.7×
683
Renal failure with cc
16
$49,016
$9,973
4.9× st 4.5×
100
Seizures with mcc
16
$192,520
$30,142
6.4× st 5.0×
165
Major chest procedures without cc/mcc
16
$108,916
$20,902
5.2× st 3.9×
551
Medical back problems with mcc
15
$89,558
$15,211
5.9× st 5.1×
563
Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without mcc
15
$52,900
$9,356
5.7× st 4.8×
441
Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with mcc
15
$155,310
$21,245
7.3× st 4.0×
536
Fractures of hip and pelvis without mcc
15
$47,104
$8,576
5.5× st 4.6×
083
Traumatic stupor and coma >1 hour with cc
15
$64,395
$14,495
4.4× st 4.1×
216
Cardiac valve and other major cardiothoracic procedures with cardiac catheterization wit
15
$372,464
$90,177
4.1× st 3.7×
356
Other digestive system o.r. procedures with mcc
15
$171,853
$32,694
5.3× st 4.2×
191
Chronic obstructive pulmonary disease with cc
15
$49,691
$8,371
5.9× st 4.7×
907
Other o.r. procedures for injuries with mcc
14
$240,174
$49,452
4.9× st 4.0×
460
Spinal fusion except cervical without mcc
14
$140,683
$36,299
3.9× st 4.8×
166
Other respiratory system o.r. procedures with mcc
14
$195,891
$36,492
5.4× st 3.2×
270
Other major cardiovascular procedures with mcc
14
$310,336
$54,099
5.7× st 4.8×
242
Permanent cardiac pacemaker implant with mcc
14
$120,429
$29,048
4.1× st 4.1×
516
Other musculoskeletal system and connective tissue o.r. procedures with cc
14
$98,257
$17,432
5.6× st 4.9×
433
Cirrhosis and alcoholic hepatitis with cc
14
$59,848
$10,120
5.9× st 4.1×
085
Traumatic stupor and coma <1 hour with mcc
14
$99,334
$25,423
3.9× st 4.8×
208
Respiratory system diagnosis with ventilator support <=96 hours
14
$278,777
$35,339
7.9× st 5.1×
652
Kidney transplant
13
$394,996
$25,896
15.3× st 8.6×
071
Other cerebrovascular disorders with cc
13
$71,810
$10,604
6.8× st 4.5×
472
Cervical spinal fusion with cc
13
$103,733
$24,358
4.3× st 4.0×
271
Other major cardiovascular procedures with cc
13
$153,440
$28,449
5.4× st 5.0×
125
Other disorders of the eye without mcc
13
$48,688
$8,658
5.6× st 4.9×
281
Acute myocardial infarction, discharged alive with cc
13
$64,572
$8,852
7.3× st 5.7×
432
Cirrhosis and alcoholic hepatitis with mcc
13
$152,825
$21,822
7.0× st 4.1×
418
Laparoscopic cholecystectomy without c.d.e. with cc
13
$151,997
$16,131
9.4× st 5.5×
176
Pulmonary embolism without mcc
12
$50,316
$9,212
5.5× st 5.1×
393
Other digestive system diagnoses with mcc
12
$116,504
$24,997
4.7× st 3.8×
354
Hernia procedures except inguinal and femoral with cc
12
$91,459
$14,791
6.2× st 3.8×
054
Nervous system neoplasms with mcc
12
$75,830
$14,705
5.2× st 3.4×
811
Red blood cell disorders with mcc
12
$72,349
$16,245
4.5× st 5.0×
039
Extracranial procedures without cc/mcc
12
$76,577
$10,570
7.2× st 5.9×
371
Major gastrointestinal disorders and peritoneal infections with mcc
12
$129,545
$17,951
7.2× st 3.9×
405
Pancreas, liver and shunt procedures with mcc
12
$398,129
$67,472
5.9× st 3.6×
857
Postoperative or post-traumatic infections with o.r. procedures with cc
12
$171,382
$24,026
7.1× st 3.8×
082
Traumatic stupor and coma >1 hour with mcc
12
$137,867
$22,667
6.1× st 3.9×
638
Diabetes with cc
12
$62,468
$9,490
6.6× st 4.4×
087
Traumatic stupor and coma <1 hour without cc/mcc
12
$41,443
$8,666
4.8× st 4.8×
439
Disorders of pancreas except malignancy with cc
12
$60,613
$9,447
6.4× st 5.2×
103
Headaches without mcc
12
$48,937
$8,691
5.6× st 4.2×
331
Major small and large bowel procedures without cc/mcc
11
$102,179
$18,842
5.4× st 4.5×
020
Intracranial vascular procedures with principal diagnosis hemorrhage with mcc
11
$384,951
$90,912
4.2× st 3.7×
244
Permanent cardiac pacemaker implant without cc/mcc
11
$65,432
$18,398
3.6× st 3.6×
480
Hip and femur procedures except major joint with mcc
11
$213,311
$32,455
6.6× st 4.6×
229
Other cardiothoracic procedures without mcc
11
$133,470
$25,707
5.2× st 5.1×
659
Kidney and ureter procedures for non-neoplasm with mcc
11
$168,234
$26,085
6.4× st 3.8×
650
Kidney transplant with hemodialysis with mcc
11
$424,762
$37,669
11.3× st 10.4×
642
Inborn and other disorders of metabolism
11
$160,304
$12,160
13.2× st 13.2×
175
Pulmonary embolism with mcc or acute cor pulmonale
11
$96,939
$20,631
4.7× st 4.6×
438
Disorders of pancreas except malignancy with mcc
11
$93,772
$15,291
6.1× st 4.2×
167
Other respiratory system o.r. procedures with cc
11
$110,256
$17,135
6.4× st 4.1×
470
Major hip and knee joint replacement or reattachment of lower extremity without mcc
11
$112,930
$19,888
5.7× st 4.5×
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
336
$40,630
$2,347
17.3×
5302
Level 2 Upper GI Procedures
300
$13,887
$1,653
8.4×
5183
Level 3 Vascular Procedures
275
$19,775
$2,784
7.1×
5213
Level 3 Electrophysiologic Procedures
275
$174,478
$20,343
8.6×
5072
Level 2 Excision/ Biopsy/ Incision and Drainage
213
$16,629
$1,400
11.9×
5191
Level 1 Endovascular Procedures
181
$27,592
$2,820
9.8×
5155
Level 5 Airway Endoscopy
152
$46,061
$5,919
7.8×
5114
Level 4 Musculoskeletal Procedures
138
$42,485
$6,176
6.9×
5193
Level 3 Endovascular Procedures
135
$78,738
$9,542
8.3×
5115
Level 5 Musculoskeletal Procedures
110
$77,293
$11,390
6.8×
5194
Level 4 Endovascular Procedures
103
$122,498
$15,284
8.0×
5361
Level 1 Laparoscopy and Related Services
102
$52,383
$4,921
10.6×
5192
Level 2 Endovascular Procedures
98
$52,577
$4,830
10.9×
5375
Level 5 Urology and Related Services
92
$34,029
$4,519
7.5×
5184
Level 4 Vascular Procedures
85
$40,330
$4,686
8.6×
5362
Level 2 Laparoscopy and Related Services
80
$79,636
$8,802
9.0×
5374
Level 4 Urology and Related Services
79
$22,714
$3,045
7.5×
5431
Level 1 Nerve Procedures
77
$16,449
$1,651
10.0×
5154
Level 4 Airway Endoscopy
77
$28,932
$3,237
8.9×
5073
Level 3 Excision/ Biopsy/ Incision and Drainage
73
$31,815
$2,427
13.1×
5303
Level 3 Upper GI Procedures
68
$12,641
$3,305
3.8×
5223
Level 3 Pacemaker and Similar Procedures
53
$43,917
$9,030
4.9×
5465
Level 5 Neurostimulator and Related Procedures
48
$105,413
$27,041
3.9×
5153
Level 3 Airway Endoscopy
48
$20,392
$1,458
14.0×
5232
Level 2 ICD and Similar Procedures
47
$118,655
$27,497
4.3×
5113
Level 3 Musculoskeletal Procedures
43
$30,687
$2,827
10.9×
5222
Level 2 Pacemaker and Similar Procedures
38
$47,338
$7,419
6.4×
5416
Level 6 Gynecologic Procedures
37
$60,516
$6,599
9.2×
5116
Level 6 Musculoskeletal Procedures
36
$93,025
$15,437
6.0×
5464
Level 4 Neurostimulator and Related Procedures
33
$97,496
$19,059
5.1×
5182
Level 2 Vascular Procedures
33
$5,839
$1,365
4.3×
5092
Level 2 Breast/Lymphatic Surgery and Related Procedures
30
$51,027
$5,695
9.0×
5200
Implantation Wireless PA Pressure Monitor
30
$206,055
$25,312
8.1×
5373
Level 3 Urology and Related Services
27
$15,894
$1,779
8.9×
5331
Complex GI Procedures
27
$31,570
$4,977
6.3×
5414
Level 4 Gynecologic Procedures
22
$33,080
$2,631
12.6×
5627
Level 7 Radiation Therapy
20
$41,038
$6,530
6.3×
5492
Level 2 Intraocular Procedures
20
$43,558
$3,551
12.3×
5112
Level 2 Musculoskeletal Procedures
19
$22,246
$1,404
15.8×
5341
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures
18
$32,156
$3,021
10.6×
5165
Level 5 ENT Procedures
17
$48,184
$5,114
9.4×
5091
Level 1 Breast/Lymphatic Surgery and Related Procedures
17
$30,344
$3,329
9.1×
5224
Level 4 Pacemaker and Similar Procedures
16
$95,244
$16,980
5.6×
5415
Level 5 Gynecologic Procedures
13
$38,876
$4,078
9.5×
5493
Level 3 Intraocular Procedures
—
—
—
—
5471
Implantation of Drug Infusion Device
—
—
—
—
5463
Level 3 Neurostimulator and Related Procedures
—
—
—
—
5504
Level 4 Extraocular, Repair, and Plastic Eye Procedures
—
—
—
—
5491
Level 1 Intraocular Procedures
—
—
—
—
5461
Level 1 Neurostimulator and Related Procedures
—
—
—
—
5462
Level 2 Neurostimulator and Related Procedures
—
—
—
—
5503
Level 3 Extraocular, Repair, and Plastic Eye Procedures
—
—
—
—
5432
Level 2 Nerve Procedures
—
—
—
—
5164
Level 4 ENT Procedures
—
—
—
—
5163
Level 3 ENT Procedures
—
—
—
—
5211
Level 1 Electrophysiologic Procedures
—
—
—
—
5212
Level 2 Electrophysiologic Procedures
—
—
—
—
5094
Level 4 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5313
Level 3 Lower GI Procedures
—
—
—
—
5231
Level 1 ICD and Similar Procedures
—
—
—
—
5372
Level 2 Urology and Related Services
—
—
—
—
5376
Level 6 Urology and Related Services
—
—
—
—
5093
Level 3 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5166
Cochlear Implant Procedure
—
—
—
—
03 · Its own price file

What the hospital's price-transparency file says

Found via saintlukeskc.org/cms-hpt.txt, the file itself ↗ read as json, last updated 2025-12-31, template 3.0.0, 15,240 rows scanned, 4,101 distinct code–setting items kept. 4,226 findings against it.

Service
Code
Listed
Cash
Negotiated
Rates
Checks
Cptr-Asst Muscskel Navigj Ortho CT/MRI
$98,230
$58,938
$14,737
18
clean
HC Tc Stent Cca or Ex Vert Init 36163606
$8,202
$4,921
$5,520
51
clean
HC CT Perc Sacroplasty Unilat 36176058
$19,103
$11,462
$12,675
104
clean
HC CT Perc Sacroplasty Bilat 36176060
$19,485
$11,691
$12,743
106
clean
Njx Pltlt Plasma W/Img Harvest/Preparation|RIGHT SIDE
$64,744
$38,846
$4,583
27
clean
HC Atherectomy Brachiocephalic Trunk and Branches Ea Vessel
$43,887
$26,332
$26,016
34
clean
HC Pt Atherectomy Iliac Ea Vess
$43,226
$25,936
$28,270
50
clean
HC Transcath Renal Symp Denerv Bilat
$21,955
$13,173
$14,352
55
clean
HC Insert or Repl of Perm Cardiac Contractility Modulation System Gen and Electrodes
$115,289
$69,173
$75,399
51
clean
HC Perc Transcath Mitral Valve Impl/Repl
$73,987
$44,392
$48,240
52
clean
HC Intraproc Cor Ffr With 3d Functional Mapping
$11,078
$6,647
$6,614
80
clean
HC Transcatheter Tricuspid Valve Repair Perc Approach Initial Prosthesis
$14,541
$8,725
$8,620
35
clean
HC Transcatheter Tricuspid Valve Repair Perc Approach Ea Add Prosthesis During Same Session
$7,271
$4,363
$4,363
35
clean
HC Ev Icd Single Insertion
$35,710
$21,426
$24,283
52
clean
HC Endovasc Venous Arterialization Tibial/Peroneal Vein With Stent
$85,518
$51,311
$50,695
51
clean
HC Coronary Cta Plaque Analysis
$3,542
$2,125
$1,355
80
clean
HC Transcath Tricuspid Valve Implantation
$14,541
$8,725
$9,510
51
clean
HC Tcat Insj Perm Dual Chamber Ldls Pm Compl Sys
$75,133
$45,080
$49,137
50
clean
HC Tcat Insj Perm 2chmbr Ldls Pm R Atr Pm Compnt
$74,389
$44,633
$48,650
51
clean
HC Tcat Insj Perm 2chmbr Ldls Pm R Ventr Pm Compnt
$74,389
$44,633
$48,650
51
clean
HC Tcat Insj Perm 1chmbr Ldls Pacemaker R Atrial
$69,096
$41,458
$45,189
51
clean
HC US Fine Ndle Asp W Guidance First Lesion
$6,016
$3,610
$644
19
clean
HC US Fine Ndle Asp W Guidance First Lesion
$3,315
$1,989
$1,445
58
clean
HC US Fine Ndle Asp W Guidance Each Addl Lesion
$1,659
$995
$983
54
clean
HC US Fine Ndle Asp W Guidance Each Addl Lesion
$10,310
$6,186
$644
19
clean
HC Fine Ndle Asp W Fluoro Guidance First Lesion
$2,652
$1,591
$1,151
58
clean
HC CT Fine Ndle Asp W Guidance First Lesion
$14,993
$8,996
$2,126
16
clean
HC CT Fine Ndle Asp W Guidance First Lesion
$3,315
$1,989
$1,432
58
clean
HC CT Fine Ndle Asp W Guidance Each Addl Lesion
$1,327
$796
$787
54
clean
HC CT Fine Ndle Asp W Guidance Each Addl Lesion
$14,993
$8,996
$2,126
16
clean
HC Drain Cath Soft Tissue or Lymph 36168237
$6,536
$3,922
$600
16
clean
HC Drain Cath Soft Tissue or Lymph 36168237
$5,313
$3,188
$2,316
174
clean
HC US Perq Dev Soft Tiss 1st Image
$18,703
$11,222
$1,382
136
clean
HC MA Perq Dev Soft Tiss 1st Image
$2,774
$1,664
$1,644
174
clean
HC Perq Dev Soft Tiss Add Imag
$1,264
$758
$790
54
clean
HC Perq Dev Soft Tiss Add Imag
$10,316
$6,190
$1,089
16
clean
HC CT Incision Drain Abscess Neck
$745
$447
$325
119
clean
HC Incision Drain Abscess Multiple
$869
$521
$515
59
clean
HC I and D Pilonidal Cyst
$2,285
$1,371
$1,355
81
clean
HC Simple Foreign Body Removal
$1,416
$850
$839
58
clean
HC CT Hematoma Incision Drain Skin
$5,553
$3,332
$2,410
116
clean
HC Trapped Blood Removal/ Punct Asp-Absc Hemat Cyst
$11,061
$6,637
$937
63
clean
HC CT Hematoma Cystpunc Abs DRN Skin
$1,956
$1,174
$947
300
clean
HC I and D Complex Post OP Wound Infection
$9,883
$5,930
$3,917
58
clean
Dbrdmt Fx&/Dislc Subq T/M/F Bone
$43,636
$26,182
$3,050
59
clean
HC Debride Subq Tissue <=20sq Cm
$885
$531
$525
59
clean
HC Debride Subq Tissue <=20sq Cm
$1,612
$967
$476
60
clean
HC Debride Muscle/Fascia <=20sq Cm
$4,865
$2,919
$700
20
clean
HC Debride Muscle/Fascia <=20sq Cm
$2,228
$1,337
$1,321
59
clean
HC Debride Bone <=20sq Cm
$9,284
$5,570
$1,245
20
clean
HC Debride Bone <=20sq Cm
$5,553
$3,332
$2,399
59
clean
HC Debride Subq Tissue Ea Addl 20sq Cm
$885
$531
$525
54
clean
HC Debride Subq Tissue Ea Addl 20sq Cm
$5,732
$3,439
$341
20
clean
HC Debride Muscle/Fascia Each Add'l 20sq Cm
$4,376
$2,626
$522
20
clean
HC Debride Muscle/Fascia Each Add'l 20sq Cm
$1,421
$853
$842
54
clean
HC Debride Bone Each Add'l 20sq Cm
$15,603
$9,362
$1,414
20
clean
HC Debride Bone Each Add'l 20sq Cm
$2,380
$1,428
$1,411
54
clean
HC Pare Hyperkerato Benign Les Sgl
$462
$277
$274
58
clean
HC Pare Hyperkerato Benign Les Sgl
$746
$448
$218
57
clean
HC Paring of Benign Lesion >=2 to 4
$1,186
$712
$218
57
clean
HC Paring of Benign Lesion >=2 to 4
$593
$356
$352
58
clean
HC Paring of Benign Lesions >4
$3,216
$1,930
$218
58
clean
HC Paring of Benign Lesions >4
$775
$465
$459
58
clean
HC Biopsy Skin Superficial 1st Single Lesion
$712
$427
$422
56
clean
HC Biopsy Skin Superficial Each Add'l Lesion
$606
$364
$218
14
clean
HC Biopsy Skin Punch 1st Single Lesion
$1,010
$606
$599
57
clean
HC Biopsy Skin Punch Each Add'l Lesion
$606
$364
$396
53
clean
HC Biopsy Skin Incisional Full Thickness 1st Single Lesion
$1,798
$1,079
$1,066
58
clean
HC Biopsy Skin Incisional Full Thickness Each Add'l Lesion|SEPARATE STRUCTURE
$42,269
$25,361
$782
20
clean
HC Biopsy Skin Incisional Full Thickness Each Add'l Lesion
$1,079
$647
$640
53
clean
HC Removal of Skin Tag/Digit 1 to 15
$901
$541
$360
61
clean
HC Exc Skin Benig <0.5 Cm Trunk Arm Leg
$907
$544
$593
58
clean
HC Exc Skin Benig .6-1 Cm Trunk Arm Leg
$1,135
$681
$673
59
clean
HC Exc Skin Benig 1.1-2 Cm Trunk Arm Leg
$1,241
$745
$736
59
clean
HC Exc Benig Les T/a/L 2.1-3 F
$1,608
$965
$953
59
clean
HC Exc Benign Lesion T/a/L 3.1 - 4cm
$1,768
$1,061
$1,156
86
clean
HC Exc Benig Les S/N/H/F <=0.5cm
$4,633
$2,780
$1,829
62
clean
HC Exc Ben Les Scalp Neck Hands 1.1 to 2
$5,553
$3,332
$3,292
86
clean
HC Exc Benig Les S/N/H/F 3.1-4 F
$7,395
$4,437
$2,644
62
clean
Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm
$72,793
$43,676
$2,078
20
clean
HC Trim Nondystrophic Nail Any Numbr
$218
$131
$97
57
clean
HC Trim Nondystrophic Nail Any Numbr
$543
$326
$524
100
clean
HC Debride Nails 1-5
$304
$182
$170
79
clean
HC Debride Nails 6 or More
$311
$187
$184
67
clean
HC Avulsion Nail Plate Sgl Simpl
$820
$492
$343
66
clean
HC Avulsion Nail Plate Simple Ea Additional
$531
$319
$414
22
clean
HC Excision Nail and Matrix
$1,416
$850
$617
81
clean
HC Ingrown Nail Wedge Excision of Skin/Nail Fold
$1,416
$850
$839
101
clean
Replacement Tissue Expander W/Permanent Implant
$64,481
$38,688
$5,555
187
clean
Removal Tissue Expander W/O Insertion Implant
$49,212
$29,527
$2,430
27
clean
HC Insertion Drug Delivery Implant - Contracept Syst
$4,164
$2,498
$411
34
clean
HC Insertion Drug Delivery Implant - Contracept Syst
$454
$272
$198
64
clean
HC Remove Im Drug Contracept System
$998
$599
$937
21
clean
HC Remove Im Drug Contracept System
$714
$428
$364
61
clean
HC Remove W/ Reinsertion Drug Delivery Implant – Contracept Syst - Non-Biodegradable
$929
$557
$405
61
clean
HC Remove W/ Reinsertion Drug Delivery Implant – Contracept Syst - Non-Biodegradable
$4,420
$2,652
$937
22
clean
HC Laceration Simple
$712
$427
$383
18
clean
HC Tx Wound Dehis Simple Close
$2,228
$1,337
$1,100
59
clean
HC Repair Interm Wound 2.5 Cm or <
$1,135
$681
$673
86
clean
HC Repair Intermediate S/a/T/E 2.6-7.5 Cm
$1,416
$850
$839
83
clean
Repair Intermediate S/a/T/E >30.0 Cm
$37,033
$22,220
$1,559
32
clean
Repair Complex Trunk Each Additional 5 Cm/<
$33,156
$19,893
$2,250
100
clean
Repair Complex Scalp/Arm/Leg 1.1-2.5 Cm
$29,452
$17,671
$1,050
20
clean
HC Wound Clos 2nd Dehis Cpx 1
$4,226
$2,536
$2,505
59
clean
Adjacent Tissue Transfer/Reargmt Trunk 10 Sqcm/<
$61,650
$36,990
$2,871
27
clean
Adjnt Tis Transfr/Rearrange Trunk 10.1-30.0 Sqcm
$126,348
$75,809
$2,250
19
clean
Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm
$64,762
$38,857
$3,444
27
clean
Adjt Tis Trnsfr/Rearrgmt E/N/E/L Dfct 10 Sq Cm/<
$51,594
$30,956
$3,444
27
clean
Adjt Tis Reargmt Eye/Nose/Ear/Lip 10.1-30.0 Sqcm
$30,393
$18,236
$2,372
27
clean
Prep Site Trunk/Arm/Leg 1st 100 Sq Cm/1pct
$44,390
$26,634
$1,685
20
clean
HC Surgical Prep of Recipient Site Trunk Arms Legs 1st 100sq Cm
$6,459
$3,875
$1,809
18
clean
Prep Site F/S/N/H/F/G/M/D Gt 1st 100 Sq Cm/1pct
$49,709
$29,825
$1,429
40
clean
Splt Agrft T/a/L 1st 100 Sqcm/</1% Bdy Inft/Chld
$33,118
$19,871
$2,871
27
clean
HC Split Autograft Trunk Arms Legs 1st 100 Sq Cm or Less
$7,091
$4,255
$3,258
59
clean
Fth/Gft Free W/Direct Closure Trunk 20 Sq Cm/<
$56,203
$33,722
$3,245
27
clean
Fth/Gft Free W/Direct Closure S/a/L 20 Sq Cm/<
$29,601
$17,761
$1,911
27
clean
Fth/Gft Free W/Direct Closure N/E/E/L 20 Sq Cm/<
$33,456
$20,074
$1,911
27
clean
HC Apply Skin Sub Grft Trunk/Arm/Leg <=100cm Area 1st 25cm With Debride Selective >20cm<=40cm
$6,459
$3,875
$2,816
1,416
clean
HC Apply Skin Sub Grft Trunk/Arm/Leg <=100cm Area 1st 25cm With Debride Sub-Q <=20cm
$10,509
$6,305
$1,559
40
clean
HC Apply Skin Sub Grft Trunk/Arm/Leg <100cm Area Each Addl 25cm
$13,274
$7,964
$1,559
20
clean
HC Apply Skin Sub Grft Trunk/Arm/Leg <100cm Area Each Addl 25cm
$2,685
$1,611
$1,592
54
clean
HC Apply Skin Sub Grft Trunk/Arm/Leg >=100cm Area 1st 100cm
$14,221
$8,533
$6,143
1,914
clean
HC Apply Skin Sub Grft Trunk/Arm/Leg >100cm Area Each Addl 100cm
$6,333
$3,800
$3,754
53
clean
HC Apply Skin Sub Grft Face/Nk/Hf/G <=100cm Area 1st 25cm
$6,459
$3,875
$2,816
1,239
clean
HC Apply Skin Sub Grft Face/Nk/Hf/G <=100cm Area 1st 25cm With Debride Sub-Q <=20cm
$10,589
$6,353
$1,559
20
clean
HC Apply Skin Sub Grft Face/Nk/Hf/G <=100cm Area Ea Addl 25cm
$149,843
$89,906
$4,583
23
clean
HC Apply Skin Sub Grft Face/Nk/Hf/G <=100cm Area Ea Addl 25cm
$2,685
$1,611
$1,592
53
clean
Delay Flap/Sctj Flap Eyelids Nose Ears/Lips
$34,923
$20,954
$2,333
24
clean
Forehead Flap W/Preservation Vascular Pedicle
$27,657
$16,594
$3,285
24
clean
Musc Myoq/Fscq Flap Head&Neck W/Named Vasc Pedcl
$67,432
$40,459
$6,222
20
clean
Musc Myocutaneous/Fasciocutaneous Flap Trunk
$55,715
$33,429
$3,444
27
clean
Musc Myocutaneous/Fasciocutaneous Flap Uxtr
$66,835
$40,101
$2,660
53
clean
Graft Composite W/Primary Closure Donor Area
$28,179
$16,907
$1,911
27
clean
Grafting of Autologous Soft Tiss by Direct Exc
$39,168
$23,501
$4,942
17
clean
Grafting of Autologous Fat by Lipo 50 Cc or Less
$56,943
$34,166
$6,222
80
clean
Grafting of Autologous Fat by Lipo Ea Addl 50 Cc
$56,121
$33,673
$5,013
96
clean
Grafting of Autologous Fat by Lipo 25 Cc or Less
$41,777
$25,066
$3,313
20
clean
Implnt Bio Implnt for Soft Tissue Reinforcement
$119,698
$71,819
$4,583
75
clean
Exc Excsv Skn Abd Infraumbilical Panniculectomy
$44,482
$26,689
$3,812
102
clean
Excision Excessive Skin & Subq Tissue Other Area
$61,681
$37,009
$3,957
27
clean
Excision Excessive Skin & Subq Tissue Abdomen
$44,479
$26,687
$3,727
24
clean
HC Suture or Staple Removal With Anesthesia
$6,760
$4,056
$2,947
59
clean
Dressing Change Under Anesthesia
$28,782
$17,269
$701
16
clean
IV Injection Agent Test Vascular Flow Flap/Graft
$110,784
$66,470
$5,709
19
clean
Suction Assisted Lipectomy Trunk
$13,511
$8,107
$3,957
41
clean
Suction Assisted Lipectomy Lower Extremity
$44,842
$26,905
$3,285
27
clean
HC Burn Care First Degree Local
$712
$427
$479
50
clean
HC Burn Care W Debridem Small
$752
$451
$372
20
clean
HC Burn Care W Debridem Small
$752
$451
$506
48
clean
HC Burn Care W Debridem Med
$1,234
$740
$830
50
clean
HC Burn Care W Debridem Lg
$1,416
$850
$953
50
clean
HC Escharotomy First Incision
$1,438
$863
$852
57
clean
HC Cryo Lesion Benign Pre Ca 1st
$712
$427
$555
25
clean
HC Cryo Lesion Benign Pre Ca 2-14
$91
$55
$71
22
clean
HC Excision Warts 1-14
$712
$427
$255
62
clean
HC Chem Cautery Granulation Tissue Proud Flesh
$723
$434
$429
58
clean
HC Chem Cautery Granulation Tissue Proud Flesh
$723
$434
$389
39
clean
HC Unlisted Procedure Skin Mucous Membrane Subq Tissue
$27,916
$16,750
$749
15
clean
HC Cauterize Lymphatics
$885
$531
$505
228
clean
HC US Punc Aspir Cyst Breast
$5,028
$3,017
$600
60
clean
HC US Punc Aspir Cyst Breast
$2,646
$1,588
$1,143
59
clean
HC US Punc Aspir Cyst Breast Ea Add
$371
$223
$232
54
clean
HC US Punc Aspir Cyst Breast Ea Add
$5,028
$3,017
$600
20
clean
HC Mastotomy W Expl Abscess Deep
$8,906
$5,344
$2,769
27
clean
HC Mastotomy W Expl Abscess Deep
$7,132
$4,279
$3,258
59
clean
HC MA Ductogram or Galactogram Inj
$1,397
$838
$833
50
clean
HC MA Stereo Breast Bx W Vac Initial
$12,142
$7,285
$1,891
60
clean
HC MA Stereo Breast Bx W Vac Initial
$8,374
$5,024
$3,618
59
clean
HC PR MA Stereo Breast Bx W Vac Addl 36170314
$20,253
$12,152
$2,166
40
clean
HC PR MA Stereo Breast Bx W Vac Addl 36170314
$4,522
$2,713
$2,681
54
clean
HC PR US Breast Bx Ndl Core W Vac Initl 36120316
$15,633
$9,380
$1,732
60
clean
HC PR US Breast Bx Ndl Core W Vac Initl 36120316
$5,450
$3,270
$2,354
118
clean
HC PR US Breast Bx Ndl Core W Vac Addl 36129974
$2,838
$1,703
$1,774
108
clean
HC PR US Breast Bx Ndl Core W Vac Addl 36129974
$29,755
$17,853
$1,945
60
clean
HC Bx Breast Perc Needle Core Without Image Guidance
$6,297
$3,778
$2,720
58
clean
Nipple Exploration
$28,831
$17,298
$3,011
54
clean
HC Removal of Breast Lesion
$25,227
$15,136
$3,917
243
clean
Exc Breast Les Preop Plmt Rad Marker Open 1 Les
$29,317
$17,590
$3,727
108
clean
HC MA Loc Dev Plc Mammo Guide Init
$4,691
$2,815
$2,045
43
clean
HC Si MA Loc Dev Plc Mammo Guide Addl 36170338
$3,364
$2,018
$1,994
39
clean
HC Si MA Stereo Wire Localization Initial 36173417
$3,763
$2,258
$1,641
59
clean
HC Si MA Stereo Wire Localization Initial 36173417|LEFT SIDE
$5,125
$3,075
$870
38
clean
HC Si MA Stereo Wire Localization Additional Lesion 36173422
$2,822
$1,693
$1,673
53
clean
HC PR US Loc Device Plcmnt First Lesion 36120375
$3,918
$2,351
$1,708
58
clean
HC PR US Loc Device Plcmnt First Lesion 36120375
$5,280
$3,168
$870
79
clean
HC PR US Loc Device Plcmnt Addl Lesion 36120380
$25,228
$15,137
$985
58
clean
HC PR US Loc Device Plcmnt Addl Lesion 36120380
$3,348
$2,009
$1,985
54
clean
HC Post OP Breast Cath Place for Rad
$38,116
$22,870
$16,619
59
clean
Mastectomy for Gynecomastia
$11,868
$7,121
$3,988
44
clean
HC Lumpectomy
$13,308
$7,985
$5,323
71
clean
Mastectomy Partial|BILATERAL PROCEDURE
$66,951
$40,171
$3,727
108
clean
Mastectomy Partial W/Axillary Lymphadenectomy
$94,994
$56,996
$6,408
81
clean
HC Simple Mastectomy Complete
$23,198
$13,919
$8,061
71
clean
Mastectomy Simple Complete|BILATERAL PROCEDURE
$163,861
$98,317
$4,605
97
clean
Mast Modf Rad W/Ax Lymph Nod W/WO Pect/Alis Min
$68,752
$41,251
$6,949
60
clean
Mastopexy
$15,578
$9,347
$4,605
123
clean
Breast Reduction
$51,046
$30,627
$5,620
135
clean
Breast Augmentation With Implant
$12,721
$7,632
$11,200
55
clean
Removal Intact Breast Implant
$7,434
$4,460
$3,213
79
clean
Rmvl Ruptured Breast Implant W/Implant Contents
$55,922
$33,553
$3,054
131
clean

Showing the first 200 of 4,101 code–setting items in the file, verified codes first — every row as JSON →

Findings

Service
Severity
Rule
Detail
error
mrf_negotiated_above_max_systematic
2,150 of 3,420 comparable items (63%) 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. a negotiated rate of $16,287 is above the file's own maximum $8,202
warn
mrf_negotiated_above_gross_systematic
995 of 3,044 comparable items (33%) 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 $16,287 exceeds the gross charge $8,202
warn
mrf_rate_without_estimate
158,826 of 158,826 percentage/algorithm rates across 1,976 items carry no estimated dollar amount, which the template has required since 1 January 2025 — none of them do
CPT 0217T/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 19285/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 36247/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 64493/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 differ, so no cross-line comparison was made for this item
CPT 73600/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J9263/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, min, max differ, so no cross-line comparison was made for this item
CPT 0218T/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 31575/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 36247/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 differ, so no cross-line comparison was made for this item
CPT 64494/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 73610/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT C1758/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J1744/b
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J9264/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 64494/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 differ, so no cross-line comparison was made for this item
CPT 73620/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT C1769/b
info
mrf_item_fields_vary
this code and setting cover at least 25 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 J1745/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 19286/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 differ, so no cross-line comparison was made for this item
CPT 64495/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 73630/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT C1773/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 36248/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 57100/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 differ, so no cross-line comparison was made for this item
CPT 73650/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT C1778/b
info
mrf_item_fields_vary
this code and setting cover at least 8 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J1756/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J9267/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, max differ, so no cross-line comparison was made for this item
MS-DRG 446/i
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 19300/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 73660/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT C1883/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 36251/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 differ, so no cross-line comparison was made for this item
CPT 64510/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 73700/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J1800/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 19301/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 64510/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 73701/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J1805/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, min, max differ, so no cross-line comparison was made for this item
MS-DRG 092/i
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 19302/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 differ, so no cross-line comparison was made for this item
CPT 36252/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 73702/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT C1888/b
info
mrf_item_fields_vary
this code and setting cover at least 7 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J1807/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 73706/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT C1889/b
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J1808/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 19303/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 36253/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 differ, so no cross-line comparison was made for this item
CPT 64520/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 73718/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT C1894/b
info
mrf_item_fields_vary
this code and setting cover at least 44 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 J1815/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, min, max differ, so no cross-line comparison was made for this item
CPT J9280/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 19307/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 differ, so no cross-line comparison was made for this item
CPT 31622/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 73720/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT C1897/b
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
MS-DRG 464/i
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 19316/o
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 73721/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 96367/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their max differ, so no cross-line comparison was made for this item
CPT 19318/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 differ, so no cross-line comparison was made for this item
CPT J1836/b
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J9299/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 19325/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 31625/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 73723/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J1837/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
MS-DRG 486/i
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 19328/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 36415/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 differ, so no cross-line comparison was made for this item
CPT 64561/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 96372/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their max differ, so no cross-line comparison was made for this item
CPT J1885/b
info
mrf_item_fields_vary
this code and setting cover at least 7 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J9302/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 19330/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 differ, so no cross-line comparison was made for this item
CPT J1920/b
info
mrf_item_fields_vary
this code and setting cover at least 7 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J9303/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 19340/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 36430/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 47000/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 93451/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 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 max differ, so no cross-line comparison was made for this item
CPT J9305/b
info
mrf_item_fields_vary
this code and setting cover at least 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 19342/o
info
mrf_item_fields_vary
this code and setting cover at least 9 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 57260/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 differ, so no cross-line comparison was made for this item
CPT J1938/b
info
mrf_item_fields_vary
this code and setting cover at least 20 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 19357/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 57267/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 96375/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their max differ, so no cross-line comparison was made for this item
CPT C8913/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J1939/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, min, max differ, so no cross-line comparison was made for this item
CPT J9308/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 19370/o
info
mrf_item_fields_vary
this code and setting cover at least 12 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 57268/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 64616/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT C8914/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J1950/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J9309/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 19371/o
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 57282/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 differ, so no cross-line comparison was made for this item
CPT 64616/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 93454/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 96376/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their max differ, so no cross-line comparison was made for this item
CPT J1953/b
info
mrf_item_fields_vary
this code and setting cover at least 7 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 19380/o
info
mrf_item_fields_vary
this code and setting cover at least 9 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 57283/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 differ, so no cross-line comparison was made for this item
CPT J1955/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J9312/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 57285/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 differ, so no cross-line comparison was made for this item
CPT 93455/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 differ, so no cross-line comparison was made for this item
CPT J1956/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, min, max differ, so no cross-line comparison was made for this item
CPT J9316/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 20205/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 36470/o
info
mrf_item_fields_vary
this code and setting cover at least 9 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 64620/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 36471/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 64624/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 93456/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 differ, so no cross-line comparison was made for this item
CPT J9321/b
info
mrf_item_fields_vary
this code and setting cover at least 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 36471/o
info
mrf_item_fields_vary
this code and setting cover at least 9 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 64624/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J2003/b
info
mrf_item_fields_vary
this code and setting cover at least 33 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 J9325/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 31645/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 64625/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J2004/b
info
mrf_item_fields_vary
this code and setting cover at least 15 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 93458/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 differ, so no cross-line comparison was made for this item
CPT J2020/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, max differ, so no cross-line comparison was made for this item
CPT 20220/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J2060/b
info
mrf_item_fields_vary
this code and setting cover at least 8 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 36478/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 64632/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 93459/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 differ, so no cross-line comparison was made for this item
CPT J2151/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J9351/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 36478/o
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 64633/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 78226/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J2175/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J9353/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 20225/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 differ, so no cross-line comparison was made for this item
CPT 64633/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 93460/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J2185/b
info
mrf_item_fields_vary
this code and setting cover at least 8 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J9354/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 64634/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 36479/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 differ, so no cross-line comparison was made for this item
CPT 64634/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J2210/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 64635/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J2212/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 64635/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J2247/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J9370/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
MS-DRG 142/i
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 20526/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 36482/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 64636/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT C9046/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J9380/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 20550/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 36482/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 64636/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 differ, so no cross-line comparison was made for this item
CPT J2250/b
info
mrf_item_fields_vary
this code and setting cover at least 18 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 J9390/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 20550/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 64640/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT C9254/b
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J2260/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, min, max differ, so no cross-line comparison was made for this item
MS-DRG 146/i
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 31720/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT 47536/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J2270/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT C9352/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 36500/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 93505/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 differ, so no cross-line comparison was made for this item
CPT J2274/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 20552/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 47537/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT C9361/b
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT L0150/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 36514/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 differ, so no cross-line comparison was made for this item
CPT C9362/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J2290/b
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT L0172/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 20553/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 32400/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 57500/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT C9363/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J2300/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 20560/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT C9399/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J2305/b
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

Showing the first 200 of 4,226 findings, errors first — every finding as JSON →

04 · Checks

Where the Medicare rows do not agree with themselves

Service
Severity
Rule
Detail
MS-DRG 642
info
inp_charge_10x_payment
average charge $160,304 is 13.2× the total payment
MS-DRG 650
info
inp_charge_10x_payment
average charge $424,762 is 11.3× the total payment
MS-DRG 652
info
inp_charge_10x_payment
average charge $394,996 is 15.3× 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. found via cms-hpt.txt · json · 536.5M bytes · fetched 2026-08-22 · sha256 13a912a9e42d…

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.