Hospital · CCN 260162

Barnes-Jewish West County Hospital

12634 Olive Boulevard, Creve Coeur, MO 63141 · St. Louis County
Part of BJC Healthcare · 95 beds · 1
Metropolitan area core: primary flow within an urbanized area of 50,000 and greater

26 admission types 51 outpatient services price file: ok
Billed per dollar paid, all admissions
3.64×
$27.4M billed against $7.5M paid across 575 Medicare discharges; the national figure is 5.03×.
4.1%
of adults in St. Louis County have medical debt in collections
7.3%
uninsured in the county · state 10.2%
$82K
median household income
3.8×
billed ÷ paid, inpatient, summed over the county's hospitals in the Medicare file (9 in the inpatient or outpatient file)ⓘ
31.3%
obesity in the countyⓘ
11.5%
diagnosed diabetes (PLACES)
6.1%
coronary heart disease (PLACES)
—
median age · — below poverty (ACS)
01 · Admissions

What it billed Medicare, by admission type

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

DRG
Admission
Discharges
Charge
Paid
Billed ÷ paid
330
Major small and large bowel procedures with cc
45
$63,290
$18,672
3.4× st 4.3×
392
Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc
43
$25,637
$6,052
4.2× st 4.8×
871
Septicemia or severe sepsis without mv >96 hours with mcc
36
$43,101
$13,321
3.2× st 4.6×
468
Revision of hip or knee replacement without cc/mcc
36
$83,044
$21,712
3.8× st 4.5×
291
Heart failure and shock with mcc
34
$28,780
$9,174
3.1× st 4.4×
470
Major hip and knee joint replacement or reattachment of lower extremity without mcc
31
$54,448
$14,167
3.8× st 4.5×
483
Major joint or limb reattachment procedures of upper extremities
30
$69,675
$18,268
3.8× st 4.4×
690
Kidney and urinary tract infections without mcc
29
$25,637
$6,515
3.9× st 4.5×
812
Red blood cell disorders without mcc
26
$23,191
$6,734
3.4× st 4.3×
872
Septicemia or severe sepsis without mv >96 hours without mcc
26
$28,475
$8,237
3.5× st 4.6×
467
Revision of hip or knee replacement with cc
22
$102,530
$27,561
3.7× st 4.3×
641
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc
20
$28,747
$6,110
4.7× st 4.5×
389
Gastrointestinal obstruction with cc
19
$27,074
$5,974
4.5× st 4.6×
378
Gastrointestinal hemorrhage with cc
19
$27,526
$7,933
3.5× st 4.7×
460
Spinal fusion except cervical without mcc
18
$114,487
$29,560
3.9× st 4.8×
331
Major small and large bowel procedures without cc/mcc
17
$49,226
$12,326
4.0× st 4.5×
329
Major small and large bowel procedures with mcc
16
$112,746
$33,361
3.4× st 4.5×
698
Other kidney and urinary tract diagnoses with mcc
14
$35,339
$13,300
2.7× st 4.5×
193
Simple pneumonia and pleurisy with mcc
13
$33,516
$9,869
3.4× st 4.5×
391
Esophagitis, gastroenteritis and miscellaneous digestive disorders with mcc
13
$34,599
$9,697
3.6× st 4.6×
699
Other kidney and urinary tract diagnoses with cc
12
$25,724
$7,636
3.4× st 4.2×
178
Respiratory infections and inflammations with cc
12
$28,651
$7,380
3.9× st 5.0×
683
Renal failure with cc
11
$25,299
$6,512
3.9× st 4.5×
660
Kidney and ureter procedures for non-neoplasm with cc
11
$40,757
$10,798
3.8× st 4.1×
386
Inflammatory bowel disease with cc
11
$26,422
$7,299
3.6× st 4.0×
177
Respiratory infections and inflammations with mcc
11
$36,957
$11,108
3.3× 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
5115
Level 5 Musculoskeletal Procedures
714
$43,693
$11,435
3.8×
5491
Level 1 Intraocular Procedures
429
$10,506
$813
12.9×
5302
Level 2 Upper GI Procedures
393
$7,661
$1,663
4.6×
5373
Level 3 Urology and Related Services
223
$10,336
$1,744
5.9×
5431
Level 1 Nerve Procedures
172
$13,674
$1,702
8.0×
5116
Level 6 Musculoskeletal Procedures
172
$60,708
$16,471
3.7×
5072
Level 2 Excision/ Biopsy/ Incision and Drainage
171
$9,665
$1,160
8.3×
5183
Level 3 Vascular Procedures
167
$9,229
$2,752
3.4×
5374
Level 4 Urology and Related Services
156
$14,943
$3,023
4.9×
5375
Level 5 Urology and Related Services
147
$27,385
$4,605
5.9×
5503
Level 3 Extraocular, Repair, and Plastic Eye Procedures
138
$13,657
$854
16.0×
5165
Level 5 ENT Procedures
114
$24,602
$2,500
9.8×
5492
Level 2 Intraocular Procedures
102
$16,924
$1,425
11.9×
5114
Level 4 Musculoskeletal Procedures
99
$31,889
$6,174
5.2×
5313
Level 3 Lower GI Procedures
84
$10,568
$2,498
4.2×
5182
Level 2 Vascular Procedures
61
$5,619
$1,370
4.1×
5166
Cochlear Implant Procedure
53
$121,955
$11,758
10.4×
5092
Level 2 Breast/Lymphatic Surgery and Related Procedures
50
$29,323
$5,803
5.1×
5462
Level 2 Neurostimulator and Related Procedures
49
$24,427
$6,087
4.0×
5154
Level 4 Airway Endoscopy
45
$18,438
$3,156
5.8×
5091
Level 1 Breast/Lymphatic Surgery and Related Procedures
40
$20,465
$3,392
6.0×
8011
Comprehensive Observation Services
37
$12,332
$2,281
5.4×
5303
Level 3 Upper GI Procedures
36
$11,712
$3,219
3.6×
5153
Level 3 Airway Endoscopy
34
$9,363
$1,511
6.2×
5113
Level 3 Musculoskeletal Procedures
30
$17,141
$2,420
7.1×
5331
Complex GI Procedures
27
$18,804
$4,696
4.0×
5361
Level 1 Laparoscopy and Related Services
27
$29,906
$5,135
5.8×
5194
Level 4 Endovascular Procedures
23
$95,511
$15,575
6.1×
5362
Level 2 Laparoscopy and Related Services
23
$46,723
$8,840
5.3×
5341
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures
23
$14,469
$3,079
4.7×
5184
Level 4 Vascular Procedures
23
$24,839
$4,721
5.3×
5093
Level 3 Breast/Lymphatic Surgery and Related Procedures
22
$67,036
$8,086
8.3×
5155
Level 5 Airway Endoscopy
22
$33,937
$5,925
5.7×
5073
Level 3 Excision/ Biopsy/ Incision and Drainage
21
$12,567
$2,264
5.6×
5493
Level 3 Intraocular Procedures
21
$21,235
$1,861
11.4×
5504
Level 4 Extraocular, Repair, and Plastic Eye Procedures
21
$18,709
$1,868
10.0×
5112
Level 2 Musculoskeletal Procedures
21
$8,283
$1,430
5.8×
5465
Level 5 Neurostimulator and Related Procedures
19
$107,924
$26,191
4.1×
5164
Level 4 ENT Procedures
16
$16,885
$2,006
8.4×
5193
Level 3 Endovascular Procedures
14
$58,673
$9,201
6.4×
5376
Level 6 Urology and Related Services
11
$37,187
$8,198
4.5×
5094
Level 4 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5464
Level 4 Neurostimulator and Related Procedures
—
—
—
—
5461
Level 1 Neurostimulator and Related Procedures
—
—
—
—
5432
Level 2 Nerve Procedures
—
—
—
—
5378
Level 8 Urology and Related Services
—
—
—
—
5163
Level 3 ENT Procedures
—
—
—
—
5372
Level 2 Urology and Related Services
—
—
—
—
5342
Level 2 Abdominal/Peritoneal/Biliary and Related Procedures
—
—
—
—
5192
Level 2 Endovascular Procedures
—
—
—
—
5415
Level 5 Gynecologic Procedures
—
—
—
—
03 · Its own price file

What the hospital's price-transparency file says

Found via /cms-hpt.txt, the file itself ↗ read as json, last updated 2025-12-15, template 3.0.0, 59,138 rows scanned, 3,161 distinct code–setting items kept. 1,466 findings against it.

Service
Code
Listed
Cash
Negotiated
Rates
Checks
HC RBC Ag Typ Dna Hea Gen Alys
$1,316
$790
$978
73
clean
HC Adrenal Mass Pnl, 24 Hr, Urine
$3,264
$1,958
$2,425
73
clean
HC Jak2 Exons 12 to 15 Seq
$831
$499
$471
73
clean
HC Tpmt and Nudt15 Genotype
$1,068
$641
$794
73
clean
HC Ig Paraprotein Qual Bld/UR
$110
$66
$82
73
clean
Perq Sac Agmntj Uni W/WO Balo/Mchnl Dev 1/> Ndl|LEFT SIDE
$23,814
$14,288
$5,685
17
clean
HC Perc Sacral Augmt Ij Uni
$10,249
$6,149
$6,604
30
clean
HC Perc Sacral Augmt Ij Bi
$10,249
$6,149
$6,604
30
clean
HC Resp Pathogen Pnl 22 Tgts Sars Cov2
$1,204
$722
$884
73
clean
Trluml Periph Athrc W/Rs&I Brchiocphl Ea Vsl|RIGHT SIDE
$62,637
$37,582
$16,986
36
clean
HC Trnslm per Ath W S&I Ili
$16,299
$9,779
$9,209
30
clean
Perc Lamino-/Laminectomy Indir Imag Guide Lumbar|BILATERAL PROCEDURE
$21,392
$12,835
$5,685
30
clean
Onc Cutan Sq Cell Ca Mrna 40
$6,728
$4,037
$11,707
29
clean
HC Antmc Guide 3d Print 1st Guide
$131
$79
$105
24
clean
HC Antmc Guide 3d Print Ea Addl Guide
$131
$79
$72
24
clean
Perq Njx Algc Cell &/Prdct Uni/Bi Fluor Lmbr 1st
$41,915
$25,149
$7,485
30
clean
HC Quant Mrcp W/ MRI Same Anatomy
$1,826
$1,096
$1,187
73
clean
Dgtz Gls Mcrscp Sld Level II
$82
$49
$54
58
clean
Dgtz Gls Mcrscp Sld Lvl III
$108
$65
$71
58
clean
Dgtz Gls Mcrscp Sld Level IV
$156
$94
$103
58
clean
Dgtz Gls Mcrscp Sld Level V
$287
$172
$189
58
clean
Dgtz Gls Mcrscp Sld Spc Grpi
$105
$63
$69
58
clean
Dgtz Gls Mcrscp Sl Spc Grpii
$84
$50
$55
58
clean
Dgtz Gls Mcrscp Sl Imm 1st
$137
$82
$90
58
clean
Dgtz Gls Mcrscp Sl Imm Ea 1
$94
$56
$62
58
clean
Dgtz Gls Mcrscp Sl Imm Ea M
$214
$128
$141
58
clean
Dgtz Gls Mcrscp Mphmtrc Alys
$143
$86
$94
58
clean
Fine Needle Aspiration Bx W/US Gdn 1st Lesion
$6,736
$4,042
$4,587
30
clean
HC Fine Ndl Asp Bx W US Guide 1st Les
$3,628
$2,177
$2,369
24
clean
HC Fine Ndl Asp Bx W CT Guide 1st Les
$2,123
$1,274
$1,386
24
clean
Fine Needle Aspiration Bx W/CT Gdn 1st Lesion|UNUSUAL NON-OVERLAPPING SERVICE
$6,872
$4,123
$4,587
30
clean
Fine Needle Aspiration Bx W/O Img Gdn 1st Lesion
$13,206
$7,923
$4,587
30
clean
HC Gd Cath Fluid Drainage
$1,456
$874
$1,128
30
clean
Img-Guided Flu Collj Drg Cath Soft Tiss Perq
$2,409
$1,445
$4,587
60
clean
Plmt Sft Tiss Loclzj Dev Perq 1st Lesion
$3,263
$1,958
$5,685
143
clean
HC Perq Dev Sft Tis 1st Img
$1,223
$734
$948
30
clean
HC Perq Dev Sft Tis Add Img
$454
$272
$352
30
clean
Incision & Drainage Abscess Simple/Single
$14,329
$8,597
$4,587
30
clean
HC Inc/Drain Absc Simp/Sngl
$431
$259
$334
30
clean
Incision & Drainage Pilonidal Cyst Simple
$11,832
$7,099
$4,587
30
clean
Incision & Removal Foreign Body Subq Tiss Simple
$7,615
$4,569
$5,685
77
clean
HC Inc/Rem Foreig Bdy Simp
$766
$460
$594
30
clean
Incision & Removal Foreign Body Subq Tiss Comp
$15,517
$9,310
$4,587
30
clean
I&D Hematoma Seroma/Fluid Collection|LEFT SIDE
$20,062
$12,037
$5,685
83
clean
Puncture Aspiration Abscess Hematoma Bulla/Cyst|LEFT SIDE
$2,352
$1,411
$407
45
clean
HC Punc Asp Abs/Hem/Bul/Cst
$944
$566
$616
24
clean
Incision & Drainage Complex Po Wound Infection
$16,338
$9,803
$4,587
30
clean
Dbrdmt W/Rmvl Fm Fx&/Dislc Skn Subq T/M/F Musc
$40,544
$24,326
$5,685
17
clean
Dbrdmt Fx&/Dislc Subq T/M/F Bone
$42,512
$25,507
$5,685
17
clean
Debridement Subcutaneous Tissue 1st 20 Sq Cm/<|SEPARATE STRUCTURE|NON-EXCEPTED OFF-CAMPUS SVC
$20,609
$12,366
$5,685
77
clean
Debridement Muscle &/Fascia 1st 20 Sq Cm/<
$19,459
$11,675
$5,685
17
clean
Debridement Bone 1st 20 Sq Cm/<
$19,890
$11,934
$4,587
30
clean
Debridement Subcutaneous Tissue Ea Addl 20 Sq Cm
$25,426
$15,255
$4,587
30
clean
Debridement Muscle &/Fascia Ea Addl 20 Sq Cm
$22,014
$13,208
$4,587
30
clean
Debridement Bone Each Additional 20 Sq Cm
$23,004
$13,802
$4,587
30
clean
Punch Biopsy Skin Single Lesion
$11,000
$6,600
$4,587
30
clean
Punch Biopsy Skin Ea Sep/Additional Lesion
$12,819
$7,691
$4,587
30
clean
Incisional Biopsy Skin Single Lesion
$11,441
$6,865
$5,685
77
clean
Rmvl Skin Tags Mlt Fibrq Tags Any Up to&Inc 15
$13,620
$8,172
$5,685
17
clean
Exc B9 Lesion Mrgn Xcp Sk Tg T/a/L 0.5 Cm/<
$42,521
$25,512
$14,224
23
clean
Exc B9 Lesion Mrgn Xcp Sk Tg T/a/L 0.6-1.0 Cm
$14,745
$8,847
$5,685
19
clean
Exc B9 Lesion Mrgn Xcp Sk Tg T/a/L 1.1-2.0 Cm
$15,119
$9,072
$4,587
30
clean
Exc B9 Lesion Mrgn Xcp Sk Tg T/a/L 2.1-3.0 Cm
$16,122
$9,673
$4,587
30
clean
Exc B9 Lesion Mrgn Xcp Sk Tg T/a/L 3.1-4.0 Cm
$17,030
$10,218
$4,587
30
clean
Exc B9 Lesion Mrgn Xcp Sk Tg T/a/L >4.0 Cm
$24,503
$14,702
$6,771
53
clean
Exc B9 Lesion Mrgn Xcp Sk Tg S/N/H/F/G 0.5 Cm/<
$12,345
$7,407
$4,587
30
clean
Exc B9 Lesion Mrgn Xcp Sk Tg S/N/H/F/G 0.6-1.0cm
$17,304
$10,382
$4,587
30
clean
Exc B9 Lesion Mrgn Xcp Sk Tg S/N/H/F/G 1.1-2.0cm
$13,536
$8,122
$4,587
30
clean
Exc B9 Lesion Mrgn Xcp Sk Tg S/N/H/F/G 2.1-3.0cm
$13,716
$8,230
$4,587
30
clean
Exc B9 Lesion Mrgn Xcp Sk Tg S/N/H/F/G 3.1-4.0cm
$8,521
$5,113
$4,587
30
clean
Exc B9 Lesion Mrgn Xcp Sk Tg S/N/H/F/G > 4.0cm
$20,486
$12,292
$4,587
30
clean
Excision Malignant Lesion Trunk/Arm/Leg > 4.0 Cm|SEPARATE STRUCTURE
$17,663
$10,598
$5,685
49
clean
Avulsion Nail Plate Partial/Complete Simple 1
$5,791
$3,474
$4,587
30
clean
Repair Nail Bed|RIGHT HAND, THUMB
$13,514
$8,108
$4,587
30
clean
Excision Pilonidal Cyst/Sinus Simple
$10,412
$6,247
$4,587
30
clean
Excision Pilonidal Cyst/Sinus Extensive
$13,826
$8,295
$4,587
30
clean
Excision Pilonidal Cyst/Sinus Complicated
$25,232
$15,139
$4,587
30
clean
Injection Intralesional Up to & Includ 7 Lesions
$16,102
$9,661
$4,587
30
clean
HC Inj Intralesional <=7 Cm
$381
$229
$295
30
clean
Insertion Drug Delivery Implant
$69,240
$41,544
$4,587
30
clean
Smpl Repair Scalp/Neck/Ax/Genit/Trunk 2.6-7.5cm|UNUSUAL NON-OVERLAPPING SERVICE
$13,763
$8,258
$4,587
30
clean
Simple Repair F/E/E/N/L/M 2.5cm/<|SEPARATE STRUCTURE
$10,756
$6,453
$5,685
51
clean
HC Closure of Split Wound
$1,172
$703
$908
30
clean
Repair Intermediate S/a/T/E 2.6-7.5 Cm
$16,122
$9,673
$6,771
53
clean
Repair Intermediate N/H/F/Xtrnl Gent 2.5cm/<
$13,700
$8,220
$4,587
30
clean
Repair Intermediate F/E/E/N/L&/Muc 2.5 Cm/<
$16,369
$9,821
$5,685
79
clean
Repair Complex Scalp/Arm/Leg 2.6-7.5 Cm|UNUSUAL NON-OVERLAPPING SERVICE
$22,409
$13,445
$5,685
77
clean
Repair Complex Scalp/Arm/Leg Ea Addl 5 Cm/<
$13,650
$8,190
$5,685
64
clean
Repair Complex F/C/C/M/N/Ax/G/H/F 2.6-7.5 Cm|SEPARATE STRUCTURE
$23,806
$14,284
$5,685
167
clean
Secondary Closure Surg Wound/Dehsn Xtnsv/Comp
$19,732
$11,839
$4,587
30
clean
Adjt Tis Trnsfr/Rearrgmt E/N/E/L Dfct 10 Sq Cm/<|NON-EXCEPTED OFF-CAMPUS SVC|SEPARATE STRUCTURE
$18,792
$11,275
$5,685
407
clean
Prep Site Trunk/Arm/Leg 1st 100 Sq Cm/1pct
$20,398
$12,239
$4,587
60
clean
Prep Site Trunk/Arm/Leg Addl 100 Sq Cm/1pct
$31,057
$18,634
$4,587
29
clean
Prep Site F/S/N/H/F/G/M/D Gt 1st 100 Sq Cm/1pct
$24,741
$14,845
$5,929
125
clean
Splt Agrft T/a/L 1st 100 Sqcm/</1% Bdy Inft/Chld
$17,869
$10,721
$4,587
60
clean
Splt Agrft T/a/L Ea Add 100 Sqcm/Ea 1% Inft/Chld
$20,398
$12,239
$4,587
30
clean
Epidermal Agrft F/S/N/H/F/G/M/Dgt 1st 100 Sqcm/<
$30,063
$18,038
$5,685
17
clean
Splt Agrft F/S/N/H/F/G/M/Dgt 1st 100 Sqcm/</1%|NON-EXCEPTED OFF-CAMPUS SVC
$21,309
$12,785
$5,685
47
clean
App Skn Sub Grft T/a/L Area/100sq Cm /<1st 25
$19,270
$11,562
$4,587
30
clean
App Skn Subgrft T/a/L Area/100sq Cm 1st 100sq Cm
$31,057
$18,634
$4,587
29
clean
App Skn Sub Grft T/a/L Area>/=100scm Adl 100sqcm
$31,057
$18,634
$4,587
29
clean
Sub Grft F/S/N/H/F/G/M/D <100sq Cm 1st 25 Sq Cm
$33,421
$20,053
$5,929
47
clean
Musc Myocutaneous/Fasciocutaneous Flap Lxtr
$33,744
$20,246
$4,587
30
clean
Removal Sutures/Staples Requiring Anesthesia
$42,763
$25,658
$5,685
17
clean
Dressing Change Under Anesthesia
$15,758
$9,455
$4,587
30
clean
Destruction Benign Lesions Up to 14
$10,900
$6,540
$4,587
30
clean
Chemical Cauterization of Granulation Tissue
$2,975
$1,785
$4,587
30
clean
HC Chem Cauteriz Gran Tiss
$804
$482
$623
30
clean
HC Diode Laser Hair Removal|NON-EXCEPTED OFF-CAMPUS SVC
$20,566
$12,340
$5,685
34
clean
Puncture Aspiration Cyst of Breast|LEFT SIDE
$4,219
$2,531
$4,587
60
clean
HC Breast Cyst Aspiration
$1,583
$950
$1,227
30
clean
Bx Breast W/Device 1st Lesion Stereotactic Guid
$8,950
$5,370
$5,685
41
clean
HC Bx Breast 1st Lsn Strtct
$7,538
$4,523
$4,922
24
clean
HC Bx Breast Add Lsn Strtct
$3,308
$1,985
$2,160
24
clean
Bx Breast W/Device Addl Lesion Stereotact Guid|LEFT SIDE
$13,661
$8,196
$503
2
clean
Bx Breast W/Device 1st Lesion Ultrasound Guid|RETURN TO THE OPERATING ROOM FOR A RELATED PROCEDURE DURING THE POSTOPERATIVE PERIOD|LEFT SIDE
$8,044
$4,827
$5,136
26
clean
HC Bx Breast 1st Lsn US Img
$6,296
$3,778
$4,111
24
clean
Bx Breast W/Device Addl Lesion Ultrasound Guid|RIGHT SIDE
$12,299
$7,379
$5,685
21
clean
HC Bx Breast Add Lsn US Img
$4,262
$2,557
$2,783
24
clean
HC Perc Dev Breast 1st Imag
$3,008
$1,805
$2,331
30
clean
Perq Device Placement Breast Loc 1st Les W/Gdnce
$6,329
$3,797
$6,771
157
clean
Perq Device Placemt Breast Loc Ea Lesion W/Gdnce|SEPARATE PRACTITIONER|LEFT SIDE
$30,140
$18,084
$14,224
23
clean
HC Perc Dev Breast Ea Img
$1,376
$826
$899
24
clean
Perq Breast Loc Device Placemt 1st Strtctc Gdnce|RIGHT SIDE
$9,782
$5,869
$5,685
17
clean
HC Perc Dev Breast 1st Strt
$1,313
$788
$1,018
30
clean
HC Perc Dev Breast 1st Sono
$3,142
$1,885
$2,052
24
clean
Perq Breast Loc Device Placemt 1st Lesio US Imag
$5,182
$3,109
$8,198
184
clean
Perq Breast Loc Device Placemt Each Les US Image|RIGHT SIDE
$6,843
$4,106
$14,224
29
clean
HC Perc Dev Breast Add Sono
$1,540
$924
$1,006
24
clean
Biopsy Muscle Percutaneous Needle|RIGHT SIDE
$6,535
$3,921
$3,756
135
clean
HC Bx Muscle Perc Needle
$3,841
$2,305
$2,508
24
clean
HC Biopsy Bone Superficial
$2,988
$1,793
$2,316
30
clean
Biopsy Bone Trocar/Needle Superficial|RIGHT HAND, FIFTH DIGIT
$6,855
$4,113
$4,587
90
clean
Biopsy Bone Trocar/Needle Deep|LEFT SIDE
$7,263
$4,358
$4,587
120
clean
HC Biopsy Bone Deep
$2,988
$1,793
$2,316
30
clean
Biopsy Bone Open Superficial|SEPARATE STRUCTURE
$158,990
$95,394
$5,685
16
clean
Biopsy Bone Open Deep
$8,130
$4,878
$5,685
77
clean
HC Inj Sinus Tract- Therap 20500
$2,790
$1,674
$2,162
30
clean
Injection Sinus Tract Diagnostic
$1,899
$1,139
$4,587
30
clean
HC Inj Sinus Tract- Diagnos 20501
$565
$339
$438
30
clean
Injection Therapeutic Carpal Tunnel
$659
$395
$5,685
36
clean
HC Inj Carpal Tunnel Tx
$566
$340
$760
60
clean
HC Inj Tendon,Ligamt Sheath
$566
$340
$439
30
clean
Injection 1 Tendon Sheath/Ligament Aponeurosis|RIGHT SIDE
$1,989
$1,194
$5,685
99
clean
Injection Single Tendon Origin/Insertion|RIGHT SIDE
$2,001
$1,200
$4,587
90
clean
HC Inj Tend Origin/Insertn
$556
$334
$431
30
clean
Injection Single/Mlt Trigger Point 1/2 Muscles
$1,934
$1,160
$4,587
120
clean
HC Inj Trig Pnt 1-2 Mus Grp
$1,797
$1,078
$2,031
90
clean
HC Inj Trig Pnt 3+ Mus Grp
$1,874
$1,124
$2,118
90
clean
Injection Single/Mlt Trigger Point 3/> Muscles|BILATERAL PROCEDURE
$3,211
$1,927
$4,587
60
clean
HC Dry Needling 1-2 Muscles|DOCUMENTATION ON FILE
$1,759
$1,055
$208
70
clean
HC Dry Needling 1-2 Muscles
$34
$20
$27
59
clean
HC Dry Needling 3+ Muscles
$47
$28
$41
29
clean
Arthrocentesis Aspir&/Inj Small Jt/Bursa W/O US|RIGHT FOOT, GREAT TOE
$2,076
$1,245
$5,685
225
clean
HC Asp/Inj Sm Jnt/Burs W/O Guid
$600
$360
$678
90
clean
Arthrocnt Aspir&/Inj Small Jt/Bursaw/US Rec Rprt|LEFT SIDE
$1,143
$686
$5,685
53
clean
HC Drain/Ij Sm Jt/Bursa US
$1,088
$653
$843
30
clean
HC Asp/Inj Int Jnt/Bursa W/O Guid
$1,985
$1,191
$1,757
120
clean
Arthrocentesis Aspir&/Inj Interm Jt/Burs W/O US|RIGHT SIDE
$3,470
$2,082
$5,685
156
clean
Arthrocentesis Aspir&/Inj Interm Jt/Burs W/US|RIGHT SIDE
$2,449
$1,470
$5,685
21
clean
HC Drain/Ij Int Jt/Bursa US
$2,389
$1,433
$1,911
78
clean
Arthrocentesis Aspir&/Inj Major Jt/Bursa W/O US|LEFT SIDE
$4,705
$2,823
$6,771
370
clean
HC Asp/Inj Maj Jnt/Brs W/O Guid Pn
$3,220
$1,932
$3,756
150
clean
HC Drain/Ij Lg Jt/Bursa US
$2,384
$1,430
$2,694
90
clean
Arthrocentesis Aspir&/Inj Major Jt/Bursa W/US|RIGHT SIDE
$2,468
$1,481
$5,685
88
clean
Aspiration&/Injection Ganglion Cyst Any Locatj|LEFT SIDE
$2,020
$1,212
$4,587
61
clean
HC Asp/Inj Ganglion Cyst(S)
$626
$376
$485
30
clean
Removal Implant Superficial Separate Procedure|NON-EXCEPTED OFF-CAMPUS SVC
$9,342
$5,605
$4,587
60
clean
Removal Implant Deep|BILATERAL PROCEDURE
$23,019
$13,811
$6,025
188
clean
HC Ablat Bn Tum Rf Perc Wct
$17,289
$10,373
$9,768
30
clean
Unlisted Procedure Muscskeletal System General
$27,762
$16,657
$5,685
17
clean
HC Perq Cervicothoracic Inj
$5,824
$3,494
$3,850
54
clean
Perq Vertebroplasty Uni/Bi Injection Lumbosacral
$16,532
$9,919
$4,587
60
clean
HC Perq Lumbosacral Inj|BILATERAL PROCEDURE
$11,648
$6,989
$4,659
90
clean
HC Vertebroplasty Addl In
$3,098
$1,859
$2,117
54
clean
Perq Vert Agmntj Cavity Crtj Uni/Bi Cannulation
$27,200
$16,320
$7,268
30
clean
HC Perq Vrt Augmentat Thrc
$10,474
$6,284
$6,676
30
clean
HC Perq Vrt Agmntj Lmbr S&I
$10,354
$6,212
$6,638
30
clean
Perq Vert Agmntj Cavity Crtj Uni/Bi Cannulj Lmbr
$26,485
$15,891
$7,268
30
clean
Perq Vert Agmntj Cavity Crtj Uni/Bi Cannulj Each
$31,732
$19,039
$8,198
30
clean
HC Perq Vertebral Augmentat
$3,630
$2,178
$2,813
30
clean
Unlisted Procedure Spine
$32,843
$19,706
$11,040
23
clean
HC Unlist Procedure Spine
$490
$294
$380
30
clean
Unlisted Px Abdomen Musculoskeletal System
$29,713
$17,828
$4,587
29
clean
Injection Shoulder Arthrography/ CT/MRI Arthg|LEFT SIDE
$7,381
$4,429
$5,685
34
clean
HC Inject Shoulder Arthrogr
$740
$444
$574
30
clean
Unlisted Procedure Shoulder
$34,828
$20,897
$4,587
30
clean
HC Injection Elbow Arthrog
$782
$469
$511
24
clean
Open Tx Radial Head/Neck Fracture Prosthetic|RIGHT SIDE
$44,417
$26,650
$5,685
34
clean
Open Treatment Ulnar Fracture Proximal End|RIGHT SIDE
$35,218
$21,131
$5,685
34
clean
Incision Extensor Tendon Sheath Wrist|LEFT SIDE
$22,878
$13,727
$5,685
90
clean
Excision Ganglion Wrist Dorsal/Volar Primary|RIGHT SIDE
$10,603
$6,362
$5,685
52
clean
Carpectomy All Bones Proximal Row|RIGHT SIDE
$32,479
$19,487
$5,685
17
clean
Injection Wrist Arthrography|LEFT SIDE
$6,901
$4,140
$5,685
19
clean
HC Injection Wrist Arthrog
$601
$361
$395
24
clean
Tendon Sheath Incision|LEFT HAND, THIRD DIGIT|LEFT HAND, FOURTH DIGIT
$8,215
$4,929
$5,489
231
clean
Ex Tum/Vasc Malf Sft Tiss Hand/Fngr Subq 1.5cm/>
$13,022
$7,813
$4,587
30
clean
Exc Tum/Vasc Mal Sft Tiss Hand/Fngr Subq <1.5cm
$5,792
$3,475
$4,587
60
clean
Fasct Palm W/WO Z-Plasty Tissue Reargmt/Skn Grft|RIGHT SIDE
$19,825
$11,895
$5,685
17
clean
Exc Lesion Tdn Shth/Jt Capsl Hand/Fngr|LEFT SIDE
$6,335
$3,801
$5,489
154
clean

Showing the first 200 of 3,161 code–setting items in the file, verified codes first — every row as JSON →

Findings

Service
Severity
Rule
Detail
CPT 97804/b
error
mrf_negotiated_below_min
a negotiated rate of $33 is below the file's own minimum $37
CPT G0432/b
error
mrf_negotiated_below_min
a negotiated rate of $11 is below the file's own minimum $16
warn
mrf_negotiated_above_gross_systematic
628 of 2,589 comparable items (24%) 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 $1,719 exceeds the gross charge $1,316
warn
mrf_rate_without_estimate
71,711 of 71,711 percentage/algorithm rates across 891 items carry no estimated dollar amount, which the template has required since 1 January 2025 — none of them do
CPT 37221/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 73701/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 94799/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 J1580/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 37223/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 50433/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 73702/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 J1596/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 37224/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 73706/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 37225/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 50434/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 73718/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 J1642/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 37226/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 73719/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 J1644/b
info
mrf_item_fields_vary
this code and setting cover at least 11 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 37227/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 50435/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 73720/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 95806/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 J1650/b
info
mrf_item_fields_vary
this code and setting cover at least 14 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 37228/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 50593/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 73721/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 95810/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 J1652/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 37229/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 95811/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 J1720/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 37230/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 74018/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 37231/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 50688/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 95861/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 J1790/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 37232/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 95938/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT J1805/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 37233/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 50690/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 74176/b
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 95939/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 37234/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 74178/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT J1815/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 37235/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 50693/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 74181/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 95940/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT J1836/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 74183/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 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 74240/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 J1920/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 37241/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 J1938/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 37246/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 51102/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 74261/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 95992/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 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 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 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 51600/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 74270/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 J2002/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 96360/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 J2003/b
info
mrf_item_fields_vary
this code and setting cover at least 13 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, 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 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 75557/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 J2004/b
info
mrf_item_fields_vary
this code and setting cover at least 12 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 37252/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 96361/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 J2060/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 37253/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 96365/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT J2175/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 37607/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 51720/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J2185/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 37799/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 96366/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 37799/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 52000/o
info
mrf_item_fields_vary
this code and setting cover at least 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 75572/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 J2250/b
info
mrf_item_fields_vary
this code and setting cover at least 12 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 38222/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 52310/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 96367/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT J2270/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 55700/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 75625/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 J2274/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 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 75710/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 96372/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their 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 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 0275T/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 75716/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 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
CPT 38790/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 75726/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 96374/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT J2312/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 38792/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 75736/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 J2354/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 75820/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 96375/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 43201/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 75825/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 43202/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 75827/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 62321/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 75833/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 J2543/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 62322/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 75860/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 97010/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 43214/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 76000/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT J2560/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 62323/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 97012/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their max differ, so no cross-line comparison was made for this item
CPT J2597/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 97016/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 J2598/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 43220/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT J2700/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 J2704/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 97032/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their max differ, so no cross-line comparison was made for this item
CPT J2710/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 10030/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 63650/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 J2720/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 76604/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 97033/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 10035/o
info
mrf_item_fields_vary
this code and setting cover at least 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 43233/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 76641/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 J2795/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 64400/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 76642/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 97035/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their max differ, so no cross-line comparison was made for this item
CPT J2919/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 43235/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 76705/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 97039/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT J2997/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 43236/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 64405/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT J3010/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 10120/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 43236/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 64405/o
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 97110/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 10140/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 J3101/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 10160/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 43237/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 64415/o
info
mrf_item_fields_vary
this code and setting cover at least 11 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 97112/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 11042/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 64416/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 76881/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 J3230/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 11106/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 43238/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 97116/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 J3260/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 11406/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 43239/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 64417/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 J3262/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 11606/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 43239/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 64418/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 J3301/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 43241/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 64420/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 97130/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 J3360/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 12011/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 64420/o
info
mrf_item_fields_vary
this code and setting cover at least 10 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 76942/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 J3373/b
info
mrf_item_fields_vary
this code and setting cover at least 13 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 43242/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 64421/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 97140/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 J3410/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 12032/o
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 64421/o
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 76981/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT J3420/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 12051/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 43244/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item

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Sources for this hospital

the files read, as fetched — not our copy of them
  1. MUP_INP_RY26_P03_V10_DY24_PrvSvc.CSV · 38.0M bytes · fetched 2026-08-21 · sha256 2ab6da15be4c… · publisher's page · public domain (US federal)
  2. MUP_OUT_RY26_P04_V10_DY24_Prov_Svc.csv · 28.1M bytes · fetched 2026-08-21 · sha256 f293918edbf6… · publisher's page · public domain (US federal)
  3. chsp-hospital-linkage-2023.csv · 1.5M bytes · fetched 2026-08-21 · sha256 a86146f10c8d… · publisher's page · public; cite AHRQ Compendium of U.S. Health Systems
  4. 2020 ZCTA to County relationship file · US Census Bureau · 2020
    tab20_zcta520_county20_natl.txt · 6.8M bytes · fetched 2026-08-21 · sha256 3ed41278d637… · publisher's page · public domain (US federal)
  5. · json · 633.0M bytes · fetched 2026-08-23 · sha256 7b679ded075f…

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.