Hospital · CCN 261320

LAFAYETTE REGIONAL HEALTH CENTER

1500 STATE STREET, LEXINGTON, MO 64067 · Lafayette County
Part of HCA Healthcare · 25 beds · 5

price file: ok

Billed per dollar paid, all admissions

—

$0 billed against $0 paid across 0 Medicare discharges; the national figure is 5.03×.

5.8%

of adults in Lafayette County have medical debt in collections

11.9%

uninsured in the county · state 10.2%

$67K

median household income

—

billed ÷ paid, inpatient, summed over the county's hospitals in the Medicare file (0 in the inpatient or outpatient file)ⓘ

37.0%

obesity in the countyⓘ

11.8%

diagnosed diabetes (PLACES)

7.2%

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

Not in the Medicare inpatient file.

03 · Its own price file

What the hospital's price-transparency file says

Found via /cms-hpt.txt, the file itself ↗ read as json, last updated 2026-03-01, template 3.0.0, 156,535 rows scanned, 12,936 distinct code–setting items kept. 10,386 findings against it.

Service

Code

Listed

Cash

Negotiated

Rates

Checks

Red blood cell antigen typing, DNA, human erythrocyte antigen gene analysis of 35 antigens from 11 blood groups, utilizing whole blood, common RBC alleles reported

CPT 0001U

—

$720

clean

Liver disease, ten biochemical assays (ALT, A2-macroglobulin, apolipoprotein A-1, total bilirubin, GGT, haptoglobin, AST, glucose, total cholesterol and triglycerides) utilizing serum, prognostic algo

CPT 0002M

—

clean

CPT 0003M

—

clean

Oncology (prostate) gene expression profile by real-time RT-PCR of 3 genes (ERG, PCA3, and SPDEF), urine, algorithm reported as risk score

CPT 0005U

—

$760

clean

Oncology (urothelial), mRNA, gene expression profiling by real-time quantitative PCR of five genes (MDK, HOXA13, CDC2 ºCDK1», IGFBP5, and CXCR2), utilizing urine, algorithm reported as a risk score fo

CPT 0012M

—

$760

clean

CPT 0013M

—

$760

clean

Adrenal cortical tumor, biochemical assay of 25 steroid markers, utilizing 24-hour urine specimen and clinical parameters, prognostic algorithm reported as a clinical risk and integrated clinical ster

CPT 0015M

—

$1,305

clean

Oncology (bladder), mRNA, microarray gene expression profiling of 219 genes, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as molecular subtype (luminal, luminal infiltrated, b

CPT 0016M

—

$3,490

clean

Oncology (thyroid), microRNA profiling by RT-PCR of 10 miRNA sequences, utilizing fine needle aspirate, algorithm reported as a positive or negative result for moderate to high risk of malignancy

CPT 0018U

—

$3,002

clean

Oncology (acute myelogenous leukemia), DNA, genotyping of internal tandem duplication, p.D835, p.I836, using mononuclear cells, reported as detection or nondetection of FLT3 mutation and indication fo

CPT 0023U

—

$249

clean

Glycosylated acute phase proteins (GlycA), nuclear magnetic resonance spectroscopy, quantitative

CPT 0024U

—

$34

clean

Oncology (thyroid), DNA and mRNA of 112 genes, next-generation sequencing, fine needle aspirate of thyroid nodule, algorithmic analysis reported as a categorical result ("Positive, high probability of

CPT 0026U

—

$3,600

clean

JAK2 (Janus kinase 2) (eg, myeloproliferative disorder) gene analysis, targeted sequence analysis exons 12-15

CPT 0027U

—

$122

clean

Drug metabolism (adverse drug reactions and drug response), targeted sequence analysis (ie, CYP1A2, CYP2C19, CYP2C9, CYP2D6, CYP3A4, CYP3A5, CYP4F2, SLCO1B1, VKORC1 and rs12777823)

CPT 0029U

—

$742

clean

TPMT (thiopurine S-methyltransferase), NUDT15 (nudix hydroxylase 15) (eg, thiopurine metabolism), gene analysis, common variants (ie, TPMT *2, *3A, *3B, *3C, *4, *5, *6, *8, *12; NUDT15 *3, *4, *5)

CPT 0034U

—

$466

clean

Neurology (prion disease), cerebrospinal fluid, detection of prion protein by quaking-induced conformational conversion, qualitative

CPT 0035U

—

$541

clean

Targeted genomic sequence analysis, solid organ neoplasm, DNA analysis of 324 genes, interrogation for sequence variants, gene copy number amplifications, gene rearrangements, microsatellite instabiit

CPT 0037U

—

$3,500

clean

Borrelia burgdorferi, antibody detection of 5 recombinant protein groups, by immunoblot, IgM

CPT 0041U

—

$17

clean

Borrelia burgdoferi, antibody detection of 12 recombinant protein groups, by immunoblot, IgG

CPT 0042U

—

$17

clean

Tick-borne relapsing fever Borrelia group, antibody detection to 4 recombinant protein groups, by immunoblot, IgM

CPT 0043U

—

$15

clean

Tick-borne replapsing fever Borrelia group, antibody detection to 4 recombinant protein groups, by immunoblot, IgG

CPT 0044U

—

$15

clean

Oncology (breast ductal carcinoma in situ), mRNA, gene expression progiling by real-time RT-PCR of 12 genes (7 content and 5 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm

CPT 0045U

—

$3,873

clean

Oncology (prostate), mRNA, gene expression profiling by real-time RT-PCR of 17 genes (12 content and 5 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm report as a risk scor

CPT 0047U

—

$3,873

clean

Computer-assisted musculoskeletal surgical navigational orthopedic procedure, with image-guidance based on fluoroscopic images (List separately in addition to code for primary procedure)

CPT 0054T

—

$1,218

clean

Computer-assisted musculoskeletal surgical navigational orthopedic procedure, with image-guidance based on CT/MRI images (List separately in addition to code for primary procedure)

CPT 0055T

—

$1,218

clean

Oncology (Merkel cell-carcinoma), detection of antibodies to the Merkel cell polyoma virus oncoprotein (small T antigen), serum, quantitative

CPT 0058U

—

$323

clean

Oncology (Merkel cell-carcinoma), detection of antibodies to the Merkel cell polyoma virus capsid protein (VP1), serum, reported as positive or negative

CPT 0059U

—

$323

clean

Transcutaneous measurement of five biomarkers, using spatial frequency domain imaging (SFDI) and multi-spectral analysis

CPT 0061U

—

$25

clean

Antibody, Treponema pallidum, total and rapid plasma reagin (RPR), immunoassay, qualitative

CPT 0064U

—

$31

clean

Syphilis test, non-treponemal antibody, immunoassay, qualitative (RPR)

CPT 0065U

—

$18

clean

Candida species panel (C. albicans, C. glabrata, C. parapsilosis, C. kruseii, C. tropicalis, and C. auris), amplified probe technique with qualitative report of the presence or absence of each species

CPT 0068U

—

$143

clean

Transcatheter placement of extracranial vertebral artery stent(s), including radiologic supervision and interpretation, open or percutaneous; initial vessel

CPT 0075T

—

$11,043

clean

Immunoglobulin paraprotein (M-protein), qualitative, immunoprecipitation and mass spectrometry, blood or urine, including isotype

CPT 0077U

—

$43

clean

Oncology (lung), mass spectrometric analysis of galectin-3-binding protein and scavenger receptor cysteine-rich type 1 protein M130, with five clinical risk factors (age, smoking status, nodule diamet

CPT 0080U

—

$3,520

clean

Oncology (melanoma), gene expression profiling by RTqPCR, PRAME and LINC00518, superficial collection using adhesive patch(es)

CPT 0089U

—

$760

clean

Oncology (cutaneous melanoma), mRNA gene expression profiling by RT-PCR of 23 genes (14 content and 9 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as a categori

CPT 0090U

—

$1,755

clean

Extracorporeal shock wave involving musculoskeletal system, not otherwise specified

CPT 0101T

—

$6,653

clean

Hereditary colon cancer disorders (eg, Lynch syndrome, PTEN hamartoma syndrome, Cowden syndrome, familial adenomatosis polyposis), genomic sequence analysis panel utilizing a combination A of NGS, San

CPT 0101U

—

$1,170

clean

Nephrology (chronic kidney disease), multiplex electrochemiluminescent immunoassay (ECLIA) of tumor necrosis factor receptor 1A, receptor superfamily 2 (TNFR1, TNFR2), and kidney injury molecule-1 (KI

CPT 0105U

—

$950

clean

Gastric emptying, serial collection of 7 timed breath specimens, non-radioisotope carbon-13 (13C) spirulina substrate, analysis of each specimen by gas isotope ratio mass spectrometry, reported as rat

CPT 0106U

—

$874

clean

Gastroenterology (Barrett's esophagus), whole slide-digital imaging, including morphometric analysis, computer-assisted quantitative immunolabeling of 9 protein biomarkers (p16, AMACR, p53, CD68, COX-

CPT 0108U

—

$2,513

clean

Infectious agent detection and identification, targeted sequence analysis (16S and 18S rRNA genes) with drug-resistance gene

CPT 0112U

—

$356

clean

Transplantation medicine, quantification of donor-derived cell-free DNA using whole genome next-generation sequencing, plasma, reported as percentage of donoe-derived cell-free DNA in the total cell-f

CPT 0118U

—

$2,753

clean

Cardiology, ceramides by liquid chromatography-tandem mass spectrometry, plasma, quantitative report with risk score for major cardiovascular events

CPT 0119U

—

$84

clean

Hereditary breast cancer-related disorders (eg, hereditary breast cancer, hereditary ovarian cancer, hereditary endometrial cancer), genomic sequence analysis and eletion/duplication analysis panel (A

CPT 0129U

—

$1,118

clean

Infectious disease (bacteria, fungi, parasites, and DNA viruses), DNA, PCR and next-generation sequencing, plasma, detection of >1,000 potential microbial organisms for significant positive pathogens

CPT 0152U

—

$2,126

clean

Gastroenterology (irritable bowel syndrome [IBS]), immunoassay for anti-CdtB and anti-vinculin antibodies, utilizing plasma, algorithm for elevated or not elevated qualitative results

CPT 0164U

—

$112

clean

Liver disease, 10 biochemical assays (a2-macroglobulin, haptoglobin, apolipoprotein A1, bilirubin, GGT, ALT, AST, triglycerides, cholesterol, fasting glucose) and biometric and demographic data, utili

CPT 0166U

—

$503

clean

Oncology (solid tumor as indicated by the label), somatic mutation analyis of BRCA1, BRCA2 and analysis of homologous recombination deficiency pathways, DNA, formalin-fixed paraffin-embedded tissue, a

CPT 0172U

—

$3,030

clean

Oncology (solid tumor), mass spectrometric 30 protein targets, formalin-fixed paraffin-embedded tissue, prognostic and predictive algorithm reported as likely, unlikely, or uncertain benefit of 39 che

CPT 0174U

—

$1,305

clean

Excision of rectal tumor, transanal endoscopic microsurgical approach (ie, TEMS), including muscularis propria (ie, full thickness)

CPT 0184T

—

$6,653

clean

Percutaneous sacral augmentation (sacroplasty), unilateral injection(s), including the use of a balloon or mechanical device, when used, 1 or more needles, includes imaging guidance and bone biopsy, w

CPT 0200T

—

$6,653

clean

Percutaneous sacral augmentation (sacroplasty), bilateral injections, including the use of a balloon or mechanical device, when used, 2 or more needles, includes imaging guidance and bone biopsy, when

CPT 0201T

—

$6,653

clean

Posterior vertebral joint(s) arthroplasty (eg, facet jointºs» replacement), including facetectomy, laminectomy, foraminotomy, and vertebral column fixation, injection of bone cement, when performed, i

CPT 0202T

—

$12,989

clean

Infectious disease (Bacterial or viral respiratory tract infection), pathogen-specific nucleic acid (DNA or RNA), 22 targets including severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), qua

CPT 0202U

$1,352

$568

clean

Neurology Alzheimer Disease Cell Aggregation

CPT 0206U

—

$2,215

clean

Evacuation of meibomian glands, automated, using heat and intermittent pressure, unilateral

CPT 0207T

—

$1,218

clean

Neurology Alzheimer Disease Quantitative Imaging

CPT 0207U

—

$511

clean

Injection(s), platelet rich plasma, any site, including image guidance, harvesting and preparation when performed

CPT 0232T

—

$1,218

clean

Transluminal peripheral atherectomy, open or percutaneous, including radiological supervision and interpretation; brachiocephalic trunk and branches, each vessel

CPT 0237T

—

$19,082

clean

Transluminal peripheral atherectomy, open or percutaneous, including radiological supervision and interpretation; iliac artery, each vessel

CPT 0238T

—

$19,082

clean

Targeted genomic sequence analysis panel, solid organ neoplasm, cell-free DNA, analysis of 311 or more genes, interrogation for sequence variants, including substitutions, insertions, deletions, selec

CPT 0239U

—

$3,500

clean

Inf dis, pathogen spec DNA/RNA, 21 targets, SARS-CoV-2, ampol probe tec, incl multplx rev tx to RNA targ, ea analyte rep as det or not det

CPT 0240U

$92

$44

clean

Inf dis, pathogen-spec RNA, 4 targ SARS-CoV-2, Influ A, B, RSV, Upper resp spec, ea pathogen rep as det or not det

CPT 0241U

$92

$44

clean

Targeted genomic sequence analysis panel, solid organ neoplasm, cell-free circulating DNA analysis of 55-74 genes, interrogation for sequence variants, gene copy number amplifications, and gene rearra

CPT 0242U

—

$5,000

clean

Oncology (thyroid), mutation analysis of 10 genes and 37 RNA fusions and expression of 4 mRNA markers using next-generation sequencing, fine needle aspirate, report includes associated risk of maligna

CPT 0245U

—

$1,266

clean

Oncology (Solid organ neoplasm), targeted genomic sequence DNA analysis of 505 genes, interrogation for somatic alterations, microsatellite instability and tumor-mutation burden

CPT 0250U

—

$2,920

clean

Transcutaneous electrical modulation pain reprocessing (eg, scrambler therapy), each treatment session (includes placement of electrodes)

CPT 0278T

—

$1,218

clean

Oncology (lung), mRNA, quantitative PCR analysis of 11 genes (BAG1,BRCA1,CDC6, CDK2AP1, ERBB3, FUT3, IL11, LCK, RND3, SH3BGR, WNT3A) and 3 reference genes (ESD, TBP, YAP1), formalin-fixed paraffin emb

CPT 0288U

—

$3,873

clean

Oncology (breast ductal carcinoma in situ), protein expression profiling by immunohistochemistry of 7 proteins (COX2, FOXA1, HER2, Ki-67, p16, PR, SIAH2), with 4 clinicpathologic factors, utilizing fo

CPT 0295U

—

$1,897

clean

Cardiology (Coronary Artery Disease), analysis of 3 proteins with 3 clinical parameters, plasma, algorithm reported as a risk score for obstructive CAD

CPT 0308U

—

$391

clean

Cardiology (cardiovascular disease), analysis of 4 proteins (NT-proBNP, osteopontin, tissue inhibitor of metalloproteinase-1 [TIMP-1], and kidney injury molecule-1 [KIM-1]), plasma, algorithm reported

CPT 0309U

—

$391

clean

Infectious disease (bacterial), quantitative antimicrobial susceptibility reported as phenotypic minimum inhibitory concentration (MIC)??based antimicrobial susceptibility for each organisms identifi

CPT 0311U

—

clean

Autoimmune diseases (eg, systemic lupus erythematosus [SLE]), analysis of 8 IgG autoantibodies and 2 cell-bound complement activation products using enzyme-linked immunosorbent immunoassay (ELISA), fl

CPT 0312U

—

$841

clean

Oncology (cutaneous squamous cell carcinoma), mRNA gene expression profiling by RT-PCR of 40 genes (34 content and 6 housekeeping), utilizing formalin-fixed paraffin-embedded (FFPE) tissue, algorithm

CPT 0315U

—

$8,500

clean

Nephrology (renal transplant), RNA expression by select transcriptome sequencing, using posttransplant peripheral blood, algorithm reported as a risk score for acute cellular rejection

CPT 0320U

—

$2,650

clean

Target genomic sequence analysis panel, solid organ neoplasm, cell-free circulating DNA analysis of 83 or more genes, iterrogation for sequence variants, gene copy number amplifications, gene rearrang

CPT 0326U

—

$5,000

clean

Oncology (neoplasia), exome and transcriptome sequence analysis for sequence variants, gene copy number amplifications and deletions, gene rearrangements, microsatellite instability and tumor mutation

CPT 0329U

—

$3,438

clean

Oncology (solid organ), target geonomic sequence analysis, FFPE tumor tissue, DNA analysis, 84 or more genes, interrogation for sequence variants, gene copy number amplifications, gene rearrangements,

CPT 0334U

—

$2,920

clean

Oncology (Plasma cell disorders and myeloma), circulating plasma cell immunologic selection, id, morphological characterization, and enumeration of plasma cells based on differential CD138, CD38, CD19

CPT 0337U

—

$2,435

clean

Oncology (Solid Tumor), circulating tumor cell selection, id, morphological characterization, detection and enumeration based on differential EpCAM, cytokeratins 8, 18 and 19, and CD45 protein biomark

CPT 0338U

—

$2,435

clean

Transcatheter renal sympathetic denervation, percutaneous approach including arterial puncture, selective catheter placement(s) renal artery(ies), fluoroscopy, contrast injection(s), intraprocedural r

CPT 0339T

—

$6,653

clean

Oncology (prostate), mRNA expression profiling of HOXC6 and DLX1, reverse transcription polymerase chain reaction (RT-PCR), first void urine following digital rectal examination, algorithn reporteed a

CPT 0339U

—

$760

clean

Oncology (pan-cancer), analysis of MRD from plasma, with assays personalized to each patient based on prior next generation sequencing of the patient's tumor and germline DNA, reported as absence or p

CPT 0340U

—

$3,920

clean

Hepatology (nonalcoholic fatty liver disease), semiquantitative evaluation of 28 lipid markers by liquid chromatography with tandem mass spectometry, serum, reported as at-risk for nonalcoholic steato

CPT 0344U

—

$792

clean

Psychiatry (eg, depression, anxiety, ADHD), genomic analysis panel, variant analysis of 15 genes, including deletion/duplication analysis of CYP2D6

CPT 0345U

—

$1,336

clean

Beta amyloid, AB40 and AB42 by liquid chromatography with tandem mass spectromety, ratio, plasma

CPT 0346U

—

clean

Drug metabolism or processing (mult conditions), whole blood or buccal specimen, DNA analysis, 16 gene report, with variant analysis and reported phenotypes

CPT 0347U

—

$1,336

clean

Drug metabolism or processing (mult conditions), whole blood or buccal specimen, DNA analysis, 25 gene report, with variant analysis and reported phenotypes

CPT 0348U

—

$742

clean

Drug metabolism or processing (mult conditions), whole blood or buccal specimen, DNA analysis, 27 gene report, with variant analysis, including reported phenotypes and impacted gene-drug interactions

CPT 0349U

—

$742

clean

Radiologic examination, radiostereometric analysis (RSA); lower extremity(ies), (includes hip, proximal femur, knee, and ankle, when performed)

CPT 0350T

—

$182

clean

Infectious disease (bacterial or viral), biochemical assays, tumor necrosis factor related apoptosis-inducing ligand interferon gamma induced protein-10, and C-reactive protein, serum, algorithm repor

CPT 0351U

—

$261

clean

Optical coherence tomography of breast or axillary lymph node, excised tissue, each specimen; interpretation and report, real-time or referred

CPT 0352T

—

$2,186

clean

Infectious disease (bact vaginosis and vaginitis), multiplex amplified probe technique, for detection of bacterial vaginosis-assoc bacteria, algorithm reported as detected or not detected and separate

CPT 0352U

—

clean

Infectious agent detection by nucleic acid, Chlamydia trachomatis and Neisseria gonorrhoeae, multiplex amplified probe technque, urine, vaginal, pharyngeal or rectal, each pathogen reported as detecte

CPT 0353U

—

clean

Apol1 (apolipoprotein l1) (eg, chronic kidney disease), risk variants

CPT 0355U

—

$137

clean

Oncology evaluation of 17 DNA biomarkers using droplet digital PCR, cell-free DNA, algorithm reported as a prognostic risk score for cancer recurrence

CPT 0356U

—

$1,800

clean

Neurology (mild cognitive impairment), analysis of b-amyloid 1-42 and 1-40, chemiluminescence enzyme immunoassay, cerebral spinal fluid, reported as positive, likely positive, or negative

CPT 0358U

—

$261

clean

Oncology (prostate cancer), analysis of all prostate-specific antigen (psa) structural isoforms by phase separation and immunoassay, plasma, algorithm reports risk of cancer

CPT 0359U

—

$760

clean

Oncology (lung), enzyme-linked immunosorbent assay of 7 autoantibodies, plasma, algorithm reported as a categorical result for risk of malignancy

CPT 0360U

—

$841

clean

Neurofilament light chain, digital immunoassay, plasma, quantitative

CPT 0361U

—

clean

Oncology (urothelial), mrna, gene expression profiling by real-time quantitative pcr of 5 genes (mdk, hoxa13, cdc2 ºcdk1», igfbp5, and cxcr2), utilizing urine, algorithm incorporates age, sex, smoking

CPT 0363U

—

$760

clean

Oncology (bladder), analysis of 10 protein biomarkers by immunoassays, urine, algorithm reported as a probability of bladder cancer

CPT 0365U

—

$897

clean

Oncology (bladder), analysis of 10 protein biomarkers by immunoassays, urine, algorithm reported as a probability of recurrent bladder cancer

CPT 0366U

—

$897

clean

Oncology (ovarian), biochemical assays of 7 proteins (follicle stimulating hormone, human epididymis protein 4, apolipoprotein A-1, transferrin, beta-2 macroglobulin, prea0lbumin, and cancer antigen 1

CPT 0375U

—

$897

clean

Oncology (prostate cancer), image analysis of at least 128 histologic features and clinical factors, prognostic algorithm determining the risk of distant metastases, and prostate cancer-specific morta

CPT 0376U

—

$706

clean

Targeted genomic sequence analysis panel, solid organ neoplasm, DNA (523 genes) and RNA (55 genes) by next-gen seq, interrogation for sequence variants, gene copy number amplifications, gene rearrange

CPT 0379U

—

$3,289

clean

Drug metabolism (adverse drug reactions and drug response), targeted sequence analysis, 20 gene variants and CYP2D6 deletion or duplication anaylsis with reported genotype and phenotype

CPT 0380U

—

clean

Oncology, next-generation sequencing with ident of single nucleotide variants, copy number variants, insertions and deletions, and scructural variants in 37 cancer related genes, plasma, with report f

CPT 0388U

—

$3,500

clean

Neurology, cerebrospinal fluid, detection of misfolded a-synuclein protein by see amplification assay, qualitative

CPT 0393U

—

$541

clean

Perfluroalkyl substances, 16 PFAS compounds by liquid chromatography with tandem mass spectrometry, plasma or serum, quantitative

CPT 0394U

—

$199

clean

Gastroenterology (Barret esophagus), P16, RUNX3,HPP1, & FBN1 DNA methylation analysis using PCR, FFPE tissue, algorithm reported as risk score for progression to high-grade dysplasia or cancer

CPT 0398U

—

$1,755

clean

Collagen cross-linking of cornea, including removal of the corneal epithelium, when performed, and intraoperative pachymetry, when performed

CPT 0402T

—

$5,829

clean

Oncology (Prostate), mRNA, gene expression peofiling of 18 genes, first-catch, algorithm reported as percentage of likelihood of detecting clinical significant prostate cancer

CPT 0403U

—

$760

clean

Oncology (breast), semiquantitative measurement of thymidine kinase activity by immunoassay, serum, results as risk of disease progression

CPT 0404U

—

$323

clean

Oncology (lung), flow cytometry, sputum, 5 markers (meso-tetra porphyrin (TCPP), CD206, CD66b, CD3, CD19), algorithm reported as likelihood of lung cancer

CPT 0406U

—

$760

clean

Nephrology (diabetic chronic kidney disease), multiplex electrochiluminescent immunoassay of soluble tumor necrosis factor receptor 1, 2, and kidney injury molecule 1 combined with clinical data, plas

CPT 0407U

—

$950

clean

Insertion or replacement of permanent cardiac contractility modulation system, including contractility evaluation when performed, and programming of sensing and therapeutic parameters; pulse generator

CPT 0408T

—

$65,418

clean

Oncology (solid tumor), DNA (80 genes) & RNA (36 genes), by next-generation sequencing from plasma, including single nucleotide variants, insertions, deletions, copy number alterations, microsatellite

CPT 0409U

—

$2,920

clean

Psychiatry (eg depression, anxiety, ADHD) genomic analysis panel, variant analysis of 15 genes, including deletion/duplication analysis of CYP2D6

CPT 0411U

—

$1,336

clean

Cardiovascular disease , IL-16, FAS, FASLigand, HGF, CTACK, EOTAXIN, and MCP-3 by immunoassay combined with age, sex, family history, and personal history of diabetes, blood, algorithm reported as a 5

CPT 0415U

—

$391

clean

Oncology (pan-solid tumor), analysis of DNA biomarker response to anti-cancer therapy using cell-free circulating DNA, biomarker comparison to a previous baseline pre-treatment cell-free circulating D

CPT 0422U

—

$1,943

clean

Gastroenterology, malabsorption evaluation of alpha-1-antitrypsin, calprotectin, pancreatic elastase and reducing substances, feces, quantitative

CPT 0430U

—

$62

clean

Glycine receptor alpha1 IgG, serum or cerebrospinal fluid, live cell-binding assay, qualitative

CPT 0431U

—

$37

clean

Kelch-like protein 11 antibody, serum or cerebrospinal fluid, cell-binding assay, qualitative

CPT 0432U

—

$37

clean

Oncology (prostate), 5 DNA regulatory markers by quantitative PCR, whole blood, algorithm, including prostate-specific antigen, reported as likelihood of cancer

CPT 0433U

—

$760

clean

Drug metabolism (adverse drug reactions and drug response), genomic analysis panel, variant analysis of 25 genes with reported phenotypes

CPT 0434U

—

$417

clean

Implantation of non-biologic or synthetic implant (eg, polypropylene) for fascial reinforcement of the abdominal wall (List separately in addition to code for primary procedure)

CPT 0437T

—

$1,218

clean

Ablation, percutaneous, cryoablation, includes imaging guidance; lower extremity distal/peripheral nerve

CPT 0441T

—

$10,781

clean

Ablation, percutaneous, cryoablation, includes imaging guidance; nerve plexus or other truncal nerve (eg, brachial plexus, pudendal nerve)

CPT 0442T

—

$10,781

clean

Neurofilament light chain, ultra-sensitive immunoassay, serum or cerebrospinal fluid

CPT 0443U

—

$116

clean

Creation of subcutaneous pocket with insertion of implantable interstitial glucose sensor, including system activation and patient training

CPT 0446T

—

$1,218

clean

Removal of implantable interstitial glucose sensor from subcutaneous pocket via incision

CPT 0447T

—

$1,218

clean

Removal of implantable interstitial glucose sensor with creation of subcutaneous pocket at different anatomic site and insertion of new implantable sensor, including system activation

CPT 0448T

—

$1,218

clean

Insertion of aqueous drainage device, without extraocular reservoir, internal approach, into the subconjunctival space; initial device

CPT 0449T

—

$10,781

clean

Oncology (solid tumor),nextgeneration sequencing (NGS) of DNA from formalin-fixed paraffinembedded (FFPE) tissue with comparative sequence analysis from a matched normal specimen (blood or saliva), 68

CPT 0473U

—

$4,500

clean

Hereditary prostate cancer-related disorders,genomic sequence analysis panel using next-generation sequencing (NGS),Sanger sequencing, multiplex ligation-dependent probe amplification (MLPA),and array

CPT 0475U

—

$1,304

clean

Fractional ablative laser fenestration of burn and traumatic scars for functional improvement; first 100 cm2 or part thereof, or 1% of body surface area of infants and children

CPT 0479T

—

$2,675

clean

Fractional ablative laser fenestration of burn and traumatic scars for functional improvement; each additional 100 cm2, or each additional 1% of body surface area of infants and children, or part ther

CPT 0480T

—

$1,218

clean

Transcatheter mitral valve implantation/replacement (TMVI) with prosthetic valve; percutaneous approach, including transseptal puncture, when performed

CPT 0483T

—

$11,043

clean

Transcatheter mitral valve implantation/replacement (TMVI) with prosthetic valve; transthoracic exposure (eg, thoracotomy, transapical)

CPT 0484T

—

$11,043

clean

Oncology (solid tumor), cell-free DNA and RNA by next-generation sequencing, interpretative report for germline mutations, clonal hematopoiesis of indeterminate potential, and tumor-derived single-nuc

CPT 0485U

—

$3,649

clean

Surgical preparation and cannulation of marginal (extended) cadaver donor lung(s) to ex vivo organ perfusion system, including decannulation, separation from the perfusion system, and cold preservatio

CPT 0494T

—

$11,043

clean

Initiation and monitoring marginal (extended) cadaver donor lung(s) organ perfusion system by physician or qualified health care professional, including physiological and laboratory assessment (eg, pu

CPT 0495T

—

$11,043

clean

Endovenous femoral-popliteal arterial revascularization, with transcatheter placement of intravascular stent graft(s) and closure by any method, including percutaneous or open vascular access, ultraso

CPT 0505T

—

$19,082

clean

Extracorporeal shock wave for integumentary wound healing, including topical application and dressing care; initial wound

CPT 0512T

—

$1,218

clean

Extracorporeal shock wave for integumentary wound healing, including topical application and dressing care; each additional wound (List separately in addition to code for primary procedure)

CPT 0513T

—

$1,218

clean

Intraprocedural coronary fractional flow reserve (FFR) with 3D functional mapping of color-coded FFR values for the coronary tree, derived from coronary angiogram data, for real-time review and interp

CPT 0523T

—

$1,218

clean

Insertion or replacement of intracardiac ischemia monitoring system, including testing of the lead and monitor, initial system programming, and imaging supervision and interpretation; complete system

CPT 0525T

—

$19,082

clean

Anatomic guide 3D-printed and designed from image data set(s); first anatomic guide

CPT 0561T

—

$125

clean

Evacuation of meibomian glands, using heat delivered through wearable, open-eye eyelid treatment devices and manual gland expression, bilateral

CPT 0563T

—

$629

clean

Transcatheter tricuspid valve repair, percutaneous approach; initial prosthesis

CPT 0569T

—

$11,043

clean

Transcatheter tricuspid valve repair, percutaneous approach; each additional prosthesis during same session (List separately in addition to code for primary procedure)

CPT 0570T

—

$11,043

clean

Insertion or replacement of implantable cardioverter-defibrillator system with substernal electrode(s), including all imaging guidance and electrophysiological evaluation (includes defibrillation thre

CPT 0571T

—

$65,418

clean

Ablation, malignant breast tumor(s), percutaneous, cryotherapy, including imaging guidance when performed, unilateral

CPT 0581T

—

$5,829

clean

Real-time fluorescence wound imaging with clinical darkness, to identify location of bacterial wound pathogens and measure wound size, per session; first anatomic site (eg, lower extremity, right leg)

CPT 0598T

—

$595

clean

Ablation, irreversible electroporation; 1 or more tumors per organ, other than liver or prostate, including imaging guidance, when performed, percutaneous

CPT 0600T

—

$12,989

clean

Ablation, irreversible electroporation; 1 or more tumors per organ, including fluoroscopic and ultrasound guidance, when performed, open

CPT 0601T

—

$12,989

clean

Optical coherence tomography (OCT) of retina, remote, patient-initiated image capture and transmission to a remote surveillance center, unilateral or bilateral; remote surveillance center technical su

CPT 0605T

—

$84

clean

Endovascular venous arterialization, tibial or peroneal vein, with transcatheter placement of intravascular stent graft(s) and closure by any method, including percutaneous or open vascular access, ul

CPT 0620T

—

$19,082

clean

Percutaneous injection of allogeneic cellular and/or tissue-based product, intervertebral disc, unilateral or bilateral injection, with fluoroscopic guidance, lumbar; first level

CPT 0627T

—

$12,989

clean

Percutaneous injection of allogeneic cellular and/or tissue-based product, intervertebral disc, unilateral or bilateral injection, with fluoroscopic guidance, lumbar; each additional level (List separ

CPT 0628T

—

$1,218

clean

Percutaneous injection of allogeneic cellular and/or tissue-based product, intervertebral disc, unilateral or bilateral injection, with CT guidance, lumbar; first level

CPT 0629T

—

$12,989

clean

Computed tomography, breast, including 3D rendering, when performed, bilateral; without contrast, followed by contrast material(s)

CPT 0638T

—

$249

clean

Transcatheter removal or debulking of intracardiac mass (eg, vegetations, thrombus) via suction (eg, vacuum, aspiration) device, percutaneous approach, with intraoperative reinfusion of aspirated bloo

CPT 0644T

—

$12,989

clean

Transcatheter tricuspid valve implantation (TTVI)/replacement with prosthetic valve, percutaneous approach, including right heart catheterization, temporary pacemaker insertion, and selective right ve

CPT 0646T

—

$11,043

clean

Insertion of gastrostomy tube, percutaneous, with magnetic gastropexy, under ultrasound guidance, image documentation and report

CPT 0647T

—

$3,041

clean

Quantitative magnetic resonance for analysis of tissue composition (eg, fat, iron, water content), including multiparametric data acquisition, data preparation and transmission, interpretation and rep

CPT 0648T

—

$518

clean

Esophagogastroduodenoscopy, flexible, transnasal; with insertion of intraluminal tube or catheter

CPT 0654T

—

$3,041

clean

Transperineal focal laser ablation of malignant prostate tissue, including transrectal imaging guidance, with MR-fused images or other enhanced ultrasound imaging

CPT 0655T

—

$5,829

clean

Electrical impedance spectroscopy of 1 or more skin lesions for automated melanoma risk score

CPT 0658T

—

$125

clean

Implantation of anterior segment intraocular nonbiodegradable drug-eluting system, internal approach

CPT 0660T

—

$10,781

clean

Insertion of anterior segment aqueous drainage device into the trabecular meshwork, without external reservoir, and without concomitant cataract removal, one or more

CPT 0671T

—

$5,829

clean

Ablation, benign thyroid nodule(s), percutaneous, laser, including imaging guidance

CPT 0673T

—

$3,041

clean

Histotripsy (ie, non-thermal ablation via acoustic energy delivery) of malignant hepatocellular tissue, including image guidance

CPT 0686T

—

$28,126

clean

Injection(s), bone-substitute material (eg, calcium phosphate) into subchondral bone defect (ie, bone marrow lesion, bone bruise, stress injury, microtrabecular fracture), including imaging guidance a

CPT 0707T

—

$6,653

clean

Instillation of fecal microbiota suspension via rectal enema into lower gastrointestinal tract

CPT 0780T

—

$1,218

clean

Transcatheter insertion of permanent dual-chamber leadless pacemaker, including imaging guidance (eg, fluoroscopy, venous ultrasound, right atrial angiography, right ventriculography, femoral venograp

CPT 0795T

—

$19,082

clean

CPT 0796T

—

$19,082

clean

CPT 0797T

—

$17,865

clean

Subretinal injection of a pharmacologic agent, including vitrectomy and 1 or more retinotomies

CPT 0810T

—

$10,781

clean

Open insertion or replacement of integrated neurostimulation system for bladder dysfunction including electrode(s) (eg, array or leadless), and pulse generator or receiver, including analysis, program

CPT 0816T

—

$19,082

clean

CPT 0817T

—

$19,082

clean

Revision or removal of integrated neurostimulation system for bladder dysfunction, including analysis, programming, and imaging, when performed, posterior tibial nerve; subcutaneous

CPT 0818T

—

$6,653

clean

Transcatheter insertion of permanent single-chamber leadless pacemaker, right atrial, including imaging guidance (eg, fluoroscopy, venous ultrasound, right atrial angiography and/or right ventriculogr

CPT 0823T

—

$19,082

clean

Quantitative magnetic resonance image (MRI) analysis of the brain with comparison to prior magnetic resonance (MR) study(ies), including lesion detection, characterization, and quantification, with br

CPT 0866T

—

$525

clean

Cannulation of the liver allograft in preparation for connection to the normothermic perfusion device and decannulation of the liver allograft following normothermic perfusion

CPT 0894T

—

$11,043

clean

Fine needle aspiration biopsy, without imaging guidance; each additional lesion (List separately in addition to code for primary procedure)

CPT 10004

—

$1,218

clean

Fine needle aspiration biopsy, including ultrasound guidance; first lesion

CPT 10005

—

$392

clean

Fine needle aspiration biopsy, including ultrasound guidance; each additional lesion (List separately in addition to code for primary procedure)

CPT 10006

—

$1,218

clean

Fine needle aspiration biopsy, including fluoroscopic guidance; first lesion

CPT 10007

—

$392

clean

Fine needle aspiration biopsy, including CT guidance; first lesion

CPT 10009

—

$392

clean

Fine needle aspiration biopsy, including CT guidance; each additional lesion (List separately in addition to code for primary procedure)

CPT 10010

—

$1,218

clean

Fine needle aspiration biopsy, including MR guidance; first lesion

CPT 10011

—

$392

clean

Fine needle aspiration biopsy, including MR guidance; each additional lesion (List separately in addition to code for primary procedure)

CPT 10012

—

$1,218

clean

Fine needle aspiration biopsy, without imaging guidance; first lesion

CPT 10021

—

$138

clean

Image-guided fluid collection drainage by catheter (eg, abscess, hematoma, seroma, lymphocele, cyst), soft tissue (eg, extremity, abdominal wall, neck), percutaneous

CPT 10030

—

$115

clean

Placement of soft tissue localization device(s) (eg, clip, metallic pellet, wire/needle, radioactive seeds), percutaneous, including imaging guidance; first lesion

CPT 10035

—

$348

clean

Placement of soft tissue localization device(s) (eg, clip, metallic pellet, wire/needle, radioactive seeds), percutaneous, including imaging guidance; each additional lesion (List separately in additi

CPT 10036

—

$1,218

clean

Extraction (eg, marsupialization, opening or removal of multiple milia, comedones, cysts, pustules)

CPT 10040

—

$1,218

clean

Showing the first 200 of 12,936 code–setting items in the file, verified codes first — every row as JSON →

Findings

Service

Severity

Rule

Detail

CPT 10180/o

warn

mrf_negotiated_above_gross

highest negotiated rate $5,829 exceeds the gross charge $1,233

CPT 11000/o

warn

mrf_negotiated_above_gross

highest negotiated rate $2,550 exceeds the gross charge $208

CPT 11001/o

warn

mrf_negotiated_above_gross

highest negotiated rate $2,550 exceeds the gross charge $114

CPT 87491/o

warn

mrf_negotiated_above_gross

highest negotiated rate $77 exceeds the gross charge $28

CPT 11010/o

warn

mrf_negotiated_above_gross

highest negotiated rate $2,675 exceeds the gross charge $939

CPT 11011/o

warn

mrf_negotiated_above_gross

highest negotiated rate $2,675 exceeds the gross charge $1,699

CPT 82785/o

warn

mrf_negotiated_above_gross

highest negotiated rate $36 exceeds the gross charge $13

CPT 95004/o

warn

mrf_negotiated_above_gross

highest negotiated rate $373 exceeds the gross charge $14

CPT J0360/o

warn

mrf_negotiated_above_gross

highest negotiated rate $7 exceeds the gross charge $6

CPT 11012/o

warn

mrf_negotiated_above_gross

highest negotiated rate $4,603 exceeds the gross charge $2,034

CPT Q0180/o

warn

mrf_negotiated_above_gross

highest negotiated rate $94 exceeds the gross charge $0

CPT 11042/o

warn

mrf_negotiated_above_gross

highest negotiated rate $2,550 exceeds the gross charge $633

CPT 11043/o

warn

mrf_negotiated_above_gross

highest negotiated rate $2,550 exceeds the gross charge $1,134

CPT 95806/o

warn

mrf_negotiated_above_gross

highest negotiated rate $2,348 exceeds the gross charge $710

CPT 11044/o

warn

mrf_negotiated_above_gross

highest negotiated rate $2,675 exceeds the gross charge $1,392

CPT 87507/o

warn

mrf_negotiated_above_gross

highest negotiated rate $918 exceeds the gross charge $608

CPT 81374/o

warn

mrf_negotiated_above_gross

highest negotiated rate $160 exceeds the gross charge $59

CPT Q2038/o

warn

mrf_negotiated_above_gross

highest negotiated rate $92 exceeds the gross charge $67

CPT 24650/o

warn

mrf_negotiated_above_gross

highest negotiated rate $2,550 exceeds the gross charge $1,134

CPT Q4102/o

warn

mrf_negotiated_above_gross

highest negotiated rate $210 exceeds the gross charge $33

CPT 87532/o

warn

mrf_negotiated_above_gross

highest negotiated rate $77 exceeds the gross charge $73

CPT Q4105/o

warn

mrf_negotiated_above_gross

highest negotiated rate $210 exceeds the gross charge $134

CPT 95991/o

warn

mrf_negotiated_above_gross

highest negotiated rate $1,218 exceeds the gross charge $226

CPT Q4197/o

warn

mrf_negotiated_above_gross

highest negotiated rate $210 exceeds the gross charge $170

CPT J7501/o

warn

mrf_negotiated_above_gross

highest negotiated rate $418 exceeds the gross charge $30

CPT J7516/o

warn

mrf_negotiated_above_gross

highest negotiated rate $122 exceeds the gross charge $30

CPT 25076/o

warn

mrf_negotiated_above_gross

highest negotiated rate $3,041 exceeds the gross charge $1,935

CPT 90620/o

warn

mrf_negotiated_above_gross

highest negotiated rate $497 exceeds the gross charge $305

CPT J2272/o

warn

mrf_negotiated_above_gross

highest negotiated rate $11 exceeds the gross charge $3

CPT 87591/o

warn

mrf_negotiated_above_gross

highest negotiated rate $77 exceeds the gross charge $28

CPT 87633/o

warn

mrf_negotiated_above_gross

highest negotiated rate $918 exceeds the gross charge $383

CPT 75571/o

warn

mrf_negotiated_above_gross

highest negotiated rate $182 exceeds the gross charge $54

CPT 87634/o

warn

mrf_negotiated_above_gross

highest negotiated rate $155 exceeds the gross charge $69

CPT 86817/o

warn

mrf_negotiated_above_gross

highest negotiated rate $190 exceeds the gross charge $141

CPT 87636/o

warn

mrf_negotiated_above_gross

highest negotiated rate $150 exceeds the gross charge $86

CPT 23075/o

warn

mrf_negotiated_above_gross

highest negotiated rate $3,041 exceeds the gross charge $1,095

CPT 87637/o

warn

mrf_negotiated_above_gross

highest negotiated rate $150 exceeds the gross charge $86

CPT 23076/o

warn

mrf_negotiated_above_gross

highest negotiated rate $4,603 exceeds the gross charge $2,194

CPT J2360/o

warn

mrf_negotiated_above_gross

highest negotiated rate $11 exceeds the gross charge $6

CPT 26605/o

warn

mrf_negotiated_above_gross

highest negotiated rate $2,550 exceeds the gross charge $1,434

CPT 90677/o

warn

mrf_negotiated_above_gross

highest negotiated rate $516 exceeds the gross charge $455

CPT 86885/o

warn

mrf_negotiated_above_gross

highest negotiated rate $139 exceeds the gross charge $39

CPT 81519/o

warn

mrf_negotiated_above_gross

highest negotiated rate $6,911 exceeds the gross charge $5,383

CPT 26720/o

warn

mrf_negotiated_above_gross

highest negotiated rate $2,550 exceeds the gross charge $652

CPT 26725/o

warn

mrf_negotiated_above_gross

highest negotiated rate $2,550 exceeds the gross charge $1,127

CPT 86905/o

warn

mrf_negotiated_above_gross

highest negotiated rate $271 exceeds the gross charge $235

CPT 75820/o

warn

mrf_negotiated_above_gross

highest negotiated rate $3,164 exceeds the gross charge $2,161

CPT 90723/o

warn

mrf_negotiated_above_gross

highest negotiated rate $219 exceeds the gross charge $95

CPT 90734/o

warn

mrf_negotiated_above_gross

highest negotiated rate $350 exceeds the gross charge $186

CPT 86927/o

warn

mrf_negotiated_above_gross

highest negotiated rate $149 exceeds the gross charge $25

CPT 90744/o

warn

mrf_negotiated_above_gross

highest negotiated rate $55 exceeds the gross charge $41

CPT 99282/o

warn

mrf_negotiated_above_gross

highest negotiated rate $936 exceeds the gross charge $821

CPT 90746/o

warn

mrf_negotiated_above_gross

highest negotiated rate $124 exceeds the gross charge $72

CPT 99283/o

warn

mrf_negotiated_above_gross

highest negotiated rate $2,764 exceeds the gross charge $1,549

CPT 99284/o

warn

mrf_negotiated_above_gross

highest negotiated rate $2,764 exceeds the gross charge $2,575

CPT J0841/o

warn

mrf_negotiated_above_gross

highest negotiated rate $8,127 exceeds the gross charge $2,530

CPT J2690/o

warn

mrf_negotiated_above_gross

highest negotiated rate $568 exceeds the gross charge $224

CPT 12001/o

warn

mrf_negotiated_above_gross

highest negotiated rate $2,550 exceeds the gross charge $441

CPT 86971/o

warn

mrf_negotiated_above_gross

highest negotiated rate $291 exceeds the gross charge $186

CPT 86021/o

warn

mrf_negotiated_above_gross

highest negotiated rate $33 exceeds the gross charge $28

CPT J2730/o

warn

mrf_negotiated_above_gross

highest negotiated rate $172 exceeds the gross charge $30

CPT 91110/o

warn

mrf_negotiated_above_gross

highest negotiated rate $3,041 exceeds the gross charge $1,317

CPT 76080/o

warn

mrf_negotiated_above_gross

highest negotiated rate $1,086 exceeds the gross charge $1,067

CPT 91117/o

warn

mrf_negotiated_above_gross

highest negotiated rate $1,218 exceeds the gross charge $180

CPT 81220/o

warn

mrf_negotiated_above_gross

highest negotiated rate $993 exceeds the gross charge $320

CPT A9541/o

warn

mrf_negotiated_above_gross

highest negotiated rate $1,240 exceeds the gross charge $351

CPT A9560/o

warn

mrf_negotiated_above_gross

highest negotiated rate $180 exceeds the gross charge $54

CPT J9200/o

warn

mrf_negotiated_above_gross

highest negotiated rate $7,021 exceeds the gross charge $30

CPT 36000/o

warn

mrf_negotiated_above_gross

highest negotiated rate $2,550 exceeds the gross charge $692

CPT 12041/o

warn

mrf_negotiated_above_gross

highest negotiated rate $2,550 exceeds the gross charge $544

CPT 81229/o

warn

mrf_negotiated_above_gross

highest negotiated rate $2,070 exceeds the gross charge $528

CPT 86078/o

warn

mrf_negotiated_above_gross

highest negotiated rate $149 exceeds the gross charge $57

CPT 25500/o

warn

mrf_negotiated_above_gross

highest negotiated rate $4,950 exceeds the gross charge $1,147

CPT 86148/o

warn

mrf_negotiated_above_gross

highest negotiated rate $35 exceeds the gross charge $24

CPT 23600/o

warn

mrf_negotiated_above_gross

highest negotiated rate $2,550 exceeds the gross charge $1,155

CPT 23620/o

warn

mrf_negotiated_above_gross

highest negotiated rate $2,550 exceeds the gross charge $1,083

CPT 25600/o

warn

mrf_negotiated_above_gross

highest negotiated rate $4,950 exceeds the gross charge $1,320

CPT 87150/o

warn

mrf_negotiated_above_gross

highest negotiated rate $77 exceeds the gross charge $28

CPT J3030/o

warn

mrf_negotiated_above_gross

highest negotiated rate $313 exceeds the gross charge $38

CPT 23625/o

warn

mrf_negotiated_above_gross

highest negotiated rate $3,041 exceeds the gross charge $1,518

CPT 25605/o

warn

mrf_negotiated_above_gross

highest negotiated rate $4,950 exceeds the gross charge $2,023

CPT 92960/o

warn

mrf_negotiated_above_gross

highest negotiated rate $2,675 exceeds the gross charge $1,183

CPT 13131/o

warn

mrf_negotiated_above_gross

highest negotiated rate $2,550 exceeds the gross charge $1,091

CPT 23650/o

warn

mrf_negotiated_above_gross

highest negotiated rate $2,550 exceeds the gross charge $1,013

CPT 23655/o

warn

mrf_negotiated_above_gross

highest negotiated rate $3,041 exceeds the gross charge $1,518

CPT J3070/o

warn

mrf_negotiated_above_gross

highest negotiated rate $119 exceeds the gross charge $49

CPT 25622/o

warn

mrf_negotiated_above_gross

highest negotiated rate $4,950 exceeds the gross charge $1,414

CPT 23665/o

warn

mrf_negotiated_above_gross

highest negotiated rate $2,675 exceeds the gross charge $1,445

CPT 86300/o

warn

mrf_negotiated_above_gross

highest negotiated rate $46 exceeds the gross charge $36

CPT 84153/o

warn

mrf_negotiated_above_gross

highest negotiated rate $40 exceeds the gross charge $30

CPT J3250/o

warn

mrf_negotiated_above_gross

highest negotiated rate $95 exceeds the gross charge $86

CPT 36415/o

warn

mrf_negotiated_above_gross

highest negotiated rate $2,550 exceeds the gross charge $48

CPT 20526/o

warn

mrf_negotiated_above_gross

highest negotiated rate $2,550 exceeds the gross charge $339

CPT J3260/o

warn

mrf_negotiated_above_gross

highest negotiated rate $3 exceeds the gross charge $1

CPT 20550/o

warn

mrf_negotiated_above_gross

highest negotiated rate $2,550 exceeds the gross charge $339

CPT 84182/o

warn

mrf_negotiated_above_gross

highest negotiated rate $85 exceeds the gross charge $83

CPT 20551/o

warn

mrf_negotiated_above_gross

highest negotiated rate $2,550 exceeds the gross charge $339

CPT 20615/o

warn

mrf_negotiated_above_gross

highest negotiated rate $2,675 exceeds the gross charge $960

CPT 88319/o

warn

mrf_negotiated_above_gross

highest negotiated rate $656 exceeds the gross charge $346

CPT 88333/o

warn

mrf_negotiated_above_gross

highest negotiated rate $656 exceeds the gross charge $187

CPT 88334/o

warn

mrf_negotiated_above_gross

highest negotiated rate $102 exceeds the gross charge $94

CPT 27786/o

warn

mrf_negotiated_above_gross

highest negotiated rate $2,550 exceeds the gross charge $1,213

CPT 27788/o

warn

mrf_negotiated_above_gross

highest negotiated rate $2,550 exceeds the gross charge $1,669

CPT 84425/o

warn

mrf_negotiated_above_gross

highest negotiated rate $47 exceeds the gross charge $31

CPT 86480/o

warn

mrf_negotiated_above_gross

highest negotiated rate $137 exceeds the gross charge $106

CPT J1572/o

warn

mrf_negotiated_above_gross

highest negotiated rate $150 exceeds the gross charge $135

CPT 27808/o

warn

mrf_negotiated_above_gross

highest negotiated rate $2,550 exceeds the gross charge $1,402

CPT J7100/o

warn

mrf_negotiated_above_gross

highest negotiated rate $629 exceeds the gross charge $416

CPT 82652/o

warn

mrf_negotiated_above_gross

highest negotiated rate $85 exceeds the gross charge $73

CPT 84446/o

warn

mrf_negotiated_above_gross

highest negotiated rate $31 exceeds the gross charge $27

CPT 26160/o

warn

mrf_negotiated_above_gross

highest negotiated rate $3,041 exceeds the gross charge $1,783

CPT 87428/o

warn

mrf_negotiated_above_gross

highest negotiated rate $74 exceeds the gross charge $44

CPT 20926/o

warn

mrf_negotiated_above_gross

highest negotiated rate $5,366 exceeds the gross charge $1,601

CPT 87430/o

warn

mrf_negotiated_above_gross

highest negotiated rate $30 exceeds the gross charge $26

CPT 36591/o

warn

mrf_negotiated_above_gross

highest negotiated rate $5,877 exceeds the gross charge $134

CPT 88377/o

warn

mrf_negotiated_above_gross

highest negotiated rate $745 exceeds the gross charge $728

CPT 10060/o

warn

mrf_negotiated_above_gross

highest negotiated rate $2,550 exceeds the gross charge $315

CPT 36592/o

warn

mrf_negotiated_above_gross

highest negotiated rate $5,877 exceeds the gross charge $151

CPT 10061/o

warn

mrf_negotiated_above_gross

highest negotiated rate $2,550 exceeds the gross charge $706

CPT 10120/o

warn

mrf_negotiated_above_gross

highest negotiated rate $2,550 exceeds the gross charge $361

CPT 36600/o

warn

mrf_negotiated_above_gross

highest negotiated rate $5,877 exceeds the gross charge $34

CPT 10121/o

warn

mrf_negotiated_above_gross

highest negotiated rate $3,041 exceeds the gross charge $824

warn

mrf_rate_without_estimate

49,592 of 49,592 percentage/algorithm rates across 4,817 items carry no estimated dollar amount, which the template has required since 1 January 2025 — none of them do

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 min, max differ, so no cross-line comparison was made for this item

CPT 15773/o

info

mrf_item_fields_vary

this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 20957/o

info

mrf_item_fields_vary

this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 22532/o

info

mrf_item_fields_vary

this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 24505/o

info

mrf_item_fields_vary

this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 26352/o

info

mrf_item_fields_vary

this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 27303/o

info

mrf_item_fields_vary

this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 27889/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 29845/o

info

mrf_item_fields_vary

this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 31750/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 33505/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 35131/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 36640/o

info

mrf_item_fields_vary

this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 40801/o

info

mrf_item_fields_vary

this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 43285/o

info

mrf_item_fields_vary

this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 45135/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 48547/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 51080/o

info

mrf_item_fields_vary

this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 54437/o

info

mrf_item_fields_vary

this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 58550/o

info

mrf_item_fields_vary

this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 61616/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 64421/o

info

mrf_item_fields_vary

this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 66030/o

info

mrf_item_fields_vary

this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 69552/o

info

mrf_item_fields_vary

this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 73719/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 77280/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 80305/o

info

mrf_item_fields_vary

this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 81343/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 82726/o

info

mrf_item_fields_vary

this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 84545/o

info

mrf_item_fields_vary

this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 86648/o

info

mrf_item_fields_vary

this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 87482/o

info

mrf_item_fields_vary

this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 89051/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 93976/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT J0281/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT J1747/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT J7189/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT P9036/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

MS-DRG 201/i

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

MS-DRG 504/i

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

MS-DRG 836/i

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 15774/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 20962/o

info

mrf_item_fields_vary

this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 22533/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 24515/o

info

mrf_item_fields_vary

this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 26356/o

info

mrf_item_fields_vary

this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 27305/o

info

mrf_item_fields_vary

this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 27892/o

info

mrf_item_fields_vary

this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 29846/o

info

mrf_item_fields_vary

this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 31755/o

info

mrf_item_fields_vary

this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 33506/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 35132/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 36660/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 40804/o

info

mrf_item_fields_vary

this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 43286/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 45136/o

info

mrf_item_fields_vary

this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 48548/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 51100/o

info

mrf_item_fields_vary

this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 54440/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 58552/o

info

mrf_item_fields_vary

this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 61618/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 64425/o

info

mrf_item_fields_vary

this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 66130/o

info

mrf_item_fields_vary

this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 69554/o

info

mrf_item_fields_vary

this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 73720/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 77285/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 80306/o

info

mrf_item_fields_vary

this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 81344/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 82728/o

info

mrf_item_fields_vary

this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 84550/o

info

mrf_item_fields_vary

this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 86651/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 87483/o

info

mrf_item_fields_vary

this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 89055/o

info

mrf_item_fields_vary

this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT 94002/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 J0282/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 J1748/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

CPT J7190/o

info

mrf_item_fields_vary

this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item

Showing the first 200 of 10,386 findings, errors first — every finding as JSON →

Sources for this hospital

the files read, as fetched — not our copy of them

Medicare Inpatient Hospitals - by Provider and Service · CMS · 2024
MUP_INP_RY26_P03_V10_DY24_PrvSvc.CSV · 38.0M bytes · fetched 2026-08-21 · sha256 2ab6da15be4c… · publisher's page · public domain (US federal)
Medicare Outpatient Hospitals - by Provider and Service · CMS · 2024
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)
AHRQ Compendium of U.S. Health Systems — hospital linkage file · AHRQ · 2023
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
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)
LAFAYETTE REGIONAL HEALTH CENTER — standard charges file · MO · updated 2026-03-01
· json · 147.3M bytes · fetched 2026-08-24 · sha256 85ff7221c213…

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.