Hospital · CCN 271323

CLARK FORK VALLEY HOSPITAL

10 KRUGER RD, PLAINS, MT 59859 · Sanders County
Part of Providence · 16 beds · 1

price file: ok
Billed per dollar paid, all admissions
—
$0 billed against $0 paid across 0 Medicare discharges; the national figure is 5.03×.
3.1%
of adults in Sanders County have medical debt in collections
16.5%
uninsured in the county · state 10.5%
$55K
median household income
—
billed ÷ paid, inpatient, summed over the county's hospitals in the Medicare file (0 in the inpatient or outpatient file)ⓘ
34.9%
obesity in the countyⓘ
13.7%
diagnosed diabetes (PLACES)
10.2%
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 csv-tall, last updated 3/29/2026, template 3.0.0, 119,473 rows scanned, 18,697 distinct code–setting items kept. 778 findings against it.

Service
Code
Listed
Cash
Negotiated
Rates
Checks
HC PR 10004 FINE NEEDLE ASPIRATION BX W/O IMG GDN EA ADDL
$60
$60
$60
5
clean
HC PR 10005 FINE NEEDLE ASPIRATION BX W/US GDN 1ST LESION
$361
$361
$361
5
clean
HC PR 10006 FINE NEEDLE ASPIRATION BX W/US GDN EA ADDL
$361
$361
$361
5
clean
FNA BX W/FLUOR GDN 1ST LES
—
—
$92
1
clean
FNA BX W/CT GDN 1ST LES
—
—
$112
1
clean
FNA BX W/CT GDN EA ADDL
—
—
$81
1
clean
FNA BX W/MR GDN 1ST LES
—
—
—
0
clean
FNA BX W/MR GDN EA ADDL
—
—
—
0
clean
HC PR 10021 FINE NEEDLE ASPIRATION BX W/O IMG GDN 1ST LESION
$358
$358
$358
5
clean
PLMT SFT TISS LOCLZJ DEV 1ST
—
—
$86
1
clean
PLMT SFT TISS LOCLZJ DEV EA
—
—
$43
1
clean
HC PR 10040 ACNE SURGERY
$176
$176
$176
5
clean
HC ED DRAINAGE OF SKIN ABSCESS SIMPLE OR SINGLE CDM
$244
$244
$238
10
clean
HC ED DRAINAGE OF SKIN ABSCESS COMPLICATED OR MULTIPLE CDM
$244
$244
$244
10
clean
HC ED DRAINAGE OF PILONIDAL CYST SIMPLE CDM
$240
$240
$240
10
clean
HC PR 10081 INCISION & DRAINAGE PILONIDAL CYST COMPLICATED CDM
$495
$495
$495
5
clean
HC ED REMOVE FOREIGN BODY SIMPLE CDM
$323
$323
$225
10
clean
HC PR ED 10121 REMOVE FOREIGN BODY COMPLICATED CDM
$559
$559
$559
5
clean
HC ED DRAINAGE OF HEMA/FLUID CDM
$1,532
$1,532
$259
10
clean
HC PR ED 10160 PUNCTURE ASPIRATION ABSCESS HEMATOMA BULLA/CYST CDM
$199
$199
$167
15
clean
HC PR ED 10180 COMPLEX DRAINAGE WOUND CDM
$832
$832
$832
5
clean
HC PR ED 11000 DEBRIDE INFECTED SKIN CDM
$212
$212
$212
5
clean
HC PR 11001 DEBRIDE INFECTED SKIN ADD-ON
$82
$82
$82
5
clean
HC PR 11004 DEBRIDE GENITALIA & PERINEUM
$1,881
$1,881
$1,881
5
clean
HC PR 11005 DEBRIDE ABDOM WALL
$2,381
$2,381
$2,381
5
clean
DBRDMT SKIN XTRNL GENT PER
—
—
$716
1
clean
HC PR 11008 RMVL PROSTC MATRL/MESH ABDL WALL FOR INFECTION
$930
$930
$930
5
clean
HC ED DEBRIDE SKIN AT FX SITE CDM
$644
$644
$644
10
clean
HC PR 11011 DEBRIDE SKIN MUSC AT FX SITE
$1,686
$1,686
$1,686
5
clean
HC PR 11012 DEB SKIN BONE AT FX SITE
$2,045
$2,045
$2,045
5
clean
HC PR ED 11042 DEB SUBQ TISSUE 20 SQ CM/< CDM
$462
$462
$462
5
clean
HC PR 11043 DEB MUSC/FASCIA 20 SQ CM /<
$771
$771
$771
5
clean
HC PR 11044 DEB BONE 20 SQ CM/<
$942
$942
$942
10
clean
DBRDMT SUBQ TISS EACH ADDL
—
—
$27
1
clean
HC PR ED 11046 DEB MUSC/FASCIA ADD-ON CDM
$218
$218
$218
5
clean
HC PR 11055 TRIM SKIN LESION
$86
$86
$86
5
clean
HC PR 11056 TRIM SKIN LESIONS 2 TO 4
$187
$187
$187
5
clean
HC PR 11057 TRIM SKIN LESIONS OVER 4
$267
$267
$267
5
clean
HC PR 11102 TANGENTIAL BIOPSY SKIN SINGLE LESION
$189
$189
$189
5
clean
TANGNTL BX SKIN EA SEP/ADDL
—
—
$22
1
clean
HC PR 11104 PUNCH BIOPSY SKIN SINGLE LESION
$224
$224
$224
5
clean
HC PR 11105 PUNCH BIOPSY SKIN EA SEP/ADDITIONAL LESION
$122
$122
$122
5
clean
EXCISION BIOPSY OF ABDOMINAL WALL LESION
$5,761
$5,761
$224
10
clean
INCAL BX SKN EA SEP/ADDL
—
—
$31
1
clean
HC PR 11200 REMOVAL OF SKIN TAGS
$187
$187
$187
5
clean
HC PR 11201 REMOVE SKIN TAGS ADD-ON
$75
$75
$75
5
clean
HC PR 11300 SHAVE SKIN LESION 0.5 CM OR LESS TRNK ARM LEG
$179
$179
$179
5
clean
HC PR 11301 SHAVE SKIN LESION 0.6 TO 1.0 CM TRNK ARM LEG
$236
$236
$236
5
clean
HC PR 11302 SHAVE SKIN LESION 1.1 TO 2.0 CM TRNK ARM LEG
$315
$315
$315
5
clean
HC PR 11303 SHVG SKIN LESION 1 TRUNK/ARM/LEG DIAM GT 2.0 CM RHC
$316
$316
$316
5
clean
HC PR 11305 SHAVE SKIN LESION 0.5 CM OR LESS SCLP NK HND FT GEN
$203
$203
$203
5
clean
HC PR 11306 SHAVE SKIN LESION 0.6 TO 1.0 CM SCLP NK HND FT GEN
$230
$230
$230
5
clean
HC PR 11307 SHAVE SKIN LESION 1.1 TO 2.0 CM SCLP NK HND FT GEN
$245
$245
$245
5
clean
HC PR 11308 SHAVING SKIN LESION 1 S/N/H/F/G DIAM >2.0 CM RHC
$268
$268
$268
5
clean
HC PR 11310 SHAVE SKIN LESION 0.5 CM OR LESS FACE ERS EYLD NSE LPS MUC
$236
$236
$236
5
clean
HC PR 11311 SHAVE SKIN LESION 0.6 TO 1.0 CM FACE ERS EYLD NSE LPS MUC
$251
$251
$251
5
clean
HC PR 11312 SHAVE SKIN LESION 1.1 TO 2.0 CM FACE ERS EYLD NSE LPS MUC
$282
$282
$282
5
clean
SHAVE SKIN LESION >2.0 CM
—
—
$97
1
clean
HC PR 11400 EXC TR-EXT B9+MARG 0.5 < CM
$235
$235
$235
5
clean
HC PR ED 11401 EXC TR-EXT B9+MARG 0.6-1 CM CDM
$341
$341
$341
5
clean
HC PR 11402 EXC TR-EXT B9+MARG 1.1-2 CM
$428
$428
$428
5
clean
HC EXC B9 LESION MRGN XCP SK TG T/A/L 2.1-3.0 CM CDM
$558
$558
$558
10
clean
Epidermal cyst removal 4-1 cm
$601
$601
$601
10
clean
HC EXC B9 LESION MRGN XCP SK TG T/A/L >4.0 CM CDM
$894
$894
$894
10
clean
HC PR 11420 EXC H-F-NK-SP B9+MARG 0.5 <
$275
$275
$275
5
clean
HC PR 11421 EXC H-F-NK-SP B9+MARG 0.6-1
$352
$352
$352
5
clean
HC PR 11422 EXC H-F-NK-SP B9+MARG 1.1-2
$447
$447
$447
5
clean
HC PR 11423 EXC H-F-NK-SP B9+MARG 2.1-3
$670
$670
$670
5
clean
HC PR 11424 EXC H-F-NK-SP B9+MARG 3.1-4
$818
$818
$818
5
clean
HC PR 11426 EXC H-F-NK-SP B9+MARG > 4 CM
$1,090
$1,090
$1,090
5
clean
HC PR 11440 EXC FACE-MM B9+MARG 0.5 < CM
$372
$372
$372
5
clean
HC PR 11441 EXC FACE-MM B9+MARG 0.6-1 CM
$379
$379
$379
5
clean
HC PR 11442 EXC FACE-MM B9+MARG 1.1-2 CM
$547
$547
$547
5
clean
HC PR 11443 EXC FACE-MM B9+MARG 2.1-3 CM
$769
$769
$769
5
clean
HC PR 11444 EXC FACE-MM B9+MARG 3.1-4 CM
$816
$816
$816
5
clean
HC PR 11446 EXC FACE-MM B9+MARG > 4 CM
$1,187
$1,187
$1,187
5
clean
EXC SKN HDRDNT AX SMPL/NTRM
—
—
$269
1
clean
EXC SKN HDRDNT AX COMPLEX
—
—
$339
1
clean
EXC SKN HDRDNT ING SMPL/NTRM
—
—
$256
1
clean
EXC SKN HDRDNT ING COMPLEX
—
—
$342
1
clean
EXC SKN H/P/P/U SMPL/NTRM
—
—
$293
1
clean
EXC SKN H/P/P/U COMPLEX
—
—
$361
1
clean
HC PR 11600 EXC TR-EXT MLG+MARG 0.5 < CM
$447
$447
$447
5
clean
HC PR 11601 EXC TR-EXT MLG+MARG 0.6-1 CM
$595
$595
$595
5
clean
HC PR 11602 EXC TR-EXT MLG+MARG 1.1-2 CM
$693
$693
$693
5
clean
HC PR 11603 EXC TR-EXT MLG+MARG 2.1-3 CM
$726
$726
$726
5
clean
HC PR 11604 EXC TR-EXT MLG+MARG 3.1-4 CM
$960
$960
$960
5
clean
HC PR 11606 EXC TR-EXT MLG+MARG > 4 CM
$1,190
$1,190
$1,190
5
clean
HC PR 11620 EXC H-F-NK-SP MLG+MARG 0.5 <
$491
$491
$491
5
clean
HC PR 11621 EXC H-F-NK-SP MLG+MARG 0.6-1
$4,117
$4,117
$4,117
5
clean
HC PR 11622 EXC H-F-NK-SP MLG+MARG 1.1-2
$792
$792
$792
5
clean
HC PR 11623 EXC H-F-NK-SP MLG+MARG 2.1-3
$964
$964
$964
5
clean
HC PR 11624 EXC H-F-NK-SP MLG+MARG 3.1-4
$1,253
$1,253
$1,253
5
clean
HC PR 11626 EXC H-F-NK-SP MLG+MAR > 4 CM
$1,355
$1,355
$1,355
5
clean
HC PR 11640 EXC FACE-MM MALIG+MARG 0.5 <
$602
$602
$602
5
clean
HC PR 11641 EXC FACE-MM MALIG+MARG 0.6-1
$784
$784
$784
5
clean
HC PR 11642 EXC FACE-MM MALIG+MARG 1.1-2
$1,008
$1,008
$1,008
5
clean
HC PR 11643 EXC FACE-MM MALIG+MARG 2.1-3
$1,282
$1,282
$1,282
5
clean
HC PR 11644 EXC FACE-MM MALIG+MARG 3.1-4
$1,579
$1,579
$1,579
5
clean
HC PR 11646 EXC FACE-MM MLG+MARG > 4 CM
$2,067
$2,067
$2,067
5
clean
HC PR 11719 TRIMMING NONDYSTROPHIC NAILS ANY NUMBER
$43
$43
$43
5
clean
HC PR ED 11720 DEBRIDE NAIL 1-5 CDM
$120
$120
$120
5
clean
HC PR 11721 DEBRIDE NAIL 6 OR MORE
$212
$212
$212
5
clean
HC ED REMOVAL OF NAIL PLATE CDM
$117
$117
$117
10
clean
HC PR ED 11732 AVULSION NAIL PLATE PARTIAL/COMP SIMPLE EA ADDL CDM
$168
$168
$168
5
clean
HC ED DRAIN BLOOD FROM UNDER NAIL CDM
$73
$73
$73
10
clean
HC PR ED 11750 REMOVAL OF NAIL BED CDM
$754
$754
$754
5
clean
BIOPSY NAIL UNIT
—
—
$61
1
clean
HC PR ED 11760 REPAIR OF NAIL BED CDM
$581
$581
$581
5
clean
RECONSTRUCTION OF NAIL BED
—
—
$192
1
clean
HC PR 11770 REMOVAL OF PILONIDAL LESION SIMPLE
$1,119
$1,119
$1,119
5
clean
HC PR 11771 REMOVAL OF PILONIDAL LESION EXTEN
$1,432
$1,432
$1,432
10
clean
HC PR 11772 REMOVAL OF PILONIDAL LESION
$1,963
$1,963
$1,963
5
clean
HC PR 11900 INJECTION INTO SKIN LESIONS
$136
$136
$136
5
clean
HC PR 11901 ADDED SKIN LESIONS INJECTION
$151
$151
$151
5
clean
CORRECT SKIN COLOR 6.0 CM/<
—
—
$111
1
clean
CORRECT SKN COLOR 6.1-20.0CM
—
—
$132
1
clean
CORRECT SKIN COLOR EA 20.0CM
—
—
$30
1
clean
TX CONTOUR DEFECTS 1.1-5.0CC
—
—
$74
1
clean
INSERT TISSUE EXPANDER(S)
—
—
$1,039
1
clean
RPLCMT TISS XPNDR PERM IMPLT
—
—
$575
1
clean
RMVL TIS XPNDR WO INSJ IMPLT
—
—
$562
1
clean
IMPLANT HORMONE PELLET(S)
—
—
$55
1
clean
HC PR 11981 INSERT DRUG IMPLANT DEVICE
$527
$527
$527
5
clean
HC PR 11982 REMOVE DRUG IMPLANT DEVICE
$512
$512
$512
5
clean
REMOVE/INSERT DRUG IMPLANT
—
—
$106
1
clean
HC ED REPAIR SUPERFICL WOUND(S)< 2.5CM SLP NK AX EXGEN TRNK EXTR HND FT CDM
$224
$224
$224
10
clean
HC ED REPAIR SUPERFICIAL WND(S) 2.6-7.5CM SLP NK AX EXGEN TRNK EXTR HN CDM
$224
$224
$224
10
clean
HC ED SIMPLE RPR SCALP/NECK/AX/GENIT/TRUNK 7.6-12.5CM CDM
$224
$224
$224
10
clean
HC ED REPAIR SPRFCL WOUND(S)12.6 TO 20.0CM SLP NK AX EXGEN TRNK EXTR H CDM
$224
$224
$224
10
clean
HC ED REPAIR SPRFCL WOUND(S) 20.1-30.0CM SLP NK AX EXGEN TRNK EXTR HND CDM
$278
$278
$278
10
clean
HC ED REPAIR SUPERFICIAL WOUND(S)>30CM SLP NK AX EXGEN TRNK EXTR HND FT CDM
$339
$339
$339
10
clean
HC ED REPAIR SUPERFICIAL WOUND(S) <2.5 FACE ERS EYLD NSE LPS MUC CDM
$224
$224
$224
10
clean
HC ED REPAIR SUPERFICIAL WOUND(S) 2.6-5.0CM FACE ERS EYLD NSE LPS MUC CDM
$224
$224
$224
10
clean
HC ED REPAIR SUPERFICIAL WOUND(S) 5.1-7.5CM FACE ERS EYLD NSE LPS MUC CDM
$224
$224
$224
10
clean
HC ED REPAIR SUPERFICIAL WOUND(S) 7.6-12.5CM FACE ERS EYLD NSE LPS MUC CDM
$224
$224
$224
10
clean
HC ED REPAIR SUPERFICIAL WOUND(S) 12.6-20.0CM FACE ERS EYLD NSE LPS MUC CDM
$278
$278
$278
10
clean
HC PR ED 12017 REPAIR SUPERFIC WOUND(S) 20.1 TO 30.0CM FACE ERS EYLD N CDM
$965
$965
$965
5
clean
RPR F/E/E/N/L/M >30.0 CM
—
—
$177
1
clean
HC PR ED 12020 CLOSURE OF SPLIT WOUND SIMPLE CLOSURE CDM
$721
$721
$721
5
clean
HC PR ED 12021 CLOSURE OF SPLIT WOUND W/PACKNG CDM
$616
$616
$616
5
clean
HC ED INTMD WND REPAIR S/TR/EXT UP TO 2.5CM CDM
$224
$224
$224
10
clean
HC ED INTMD WND REPAIR S/TR/EXT 2.6 TO 7.5CM CDM
$464
$464
$464
10
clean
HC ED INTMD WND REPAIR S/TR/EXT 7.6 TO 12.5CM CDM
$464
$464
$464
10
clean
HC ED INTMD WND REPAIR S/TR/EXT 12.6 TO 20.0CM CDM
$494
$494
$494
10
clean
HC ED INTMD WND REPAIR S/TR/EXT 20.1 TO 30.0CM CDM
$536
$536
$536
10
clean
HC PR ED 12037 INTMD WND REPAIR S/TR/EXT > 30 CM. CDM
$1,202
$1,202
$1,202
5
clean
HC ED INTMD WND REPAIR N-HF/GENIT UP TO 2.5CM CDM
$224
$224
$224
10
clean
HC ED INTMD WND REPAIR N-HG/GENIT 2.6 TO 7.5CM CDM
$224
$224
$224
10
clean
HC ED INTMD WND REPAIR N-HG/GENIT 7.6 TO 12.5CM CDM
$224
$224
$224
10
clean
HC ED INTMD WND REPAIR N-HG/GENIT 12.6 TO 20.0CM CDM
$464
$464
$464
10
clean
HC ED INTMD WND REPAIR N-HG/GENIT 20.1-30.0CM CDM
$464
$464
$464
10
clean
HC PR ED 12047 INTMD WND REPAIR N-HG/GENIT >30.0CM CDM
$1,342
$1,342
$1,342
5
clean
HC ED INTMD WND REPAIR FACE/MM <2.5 CM CDM
$224
$224
$444
15
clean
HC ED INTMD WND REPAIR FACE/MM 2.6 TO 5.0CM CDM
$224
$224
$224
10
clean
HC ED INTMD WND REPAIR FACE/MM 5.1 TO 7.5CM CDM
$266
$266
$266
10
clean
HC ED INTMD WND REPAIR FACE/MM 7.5 TO 12.5CM CDM
$278
$278
$278
10
clean
HC ED INTMD WND REPAIR FACE/MM 12.6 TO 20.0CM CDM
$492
$492
$492
10
clean
HC ED INTMD WND REPAIR FACE/MM 20.1 TO 30.0CM CDM
$492
$492
$492
10
clean
HC ED INTMD WND REPAIR FACE/MM >30CM CDM
$536
$536
$536
5
clean
HC PR ED 13100 REPAIR OF WOUND OR LESION 1.1 TO 2.5CM COMPLEX, TRUNK CDM
$528
$528
$528
5
clean
HC ED REPAIR OF WOUND OR LESION 2.6 TO 7.5CM COMPLEX, TRUNK CDM
$533
$533
$533
10
clean
HC ED REPAIR WOUND/LESION ADD-ON EA ADD 5CM COMPLEX, TRUNK CDM
$667
$667
$667
10
clean
HC ED REPAIR OF WOUND OR LESION 1.1 TO 2.5CM COMPLEX, SCLP ARM LEG CDM
$533
$533
$533
10
clean
HC ED REPAIR OF WOUND OR LESION 2.6 TO 7.5CM COMPLEX, SCLP ARM LEG CDM
$548
$548
$548
10
clean
HC ED REPAIR WOUND/LESION ADD-ON 5CM OR LESS COMPLEX, SCLP ARM LEG CDM
$224
$224
$224
10
clean
HC ED REPAIR COMPLEX F/C/C/M/N/AX/G/H/F 1.1-2.5 CM CDM
$548
$548
$548
10
clean
HC ED REPAIR OF WOUND/LESION 2.6-7.5CM CMPLX, FRHD CKS SHN MTH NK AX CDM
$548
$548
$548
10
clean
HC ED REPAIR WND/LESION ADD-ON 5CM CMPLX FRHD CKS SHN MTH NK AX GEN HND CDM
$533
$533
$533
10
clean
HC PR ED 13151 REPAIR OF WND OR LESN 1.1 TO 2.5CM CMPLX EYLD NS ERS LPS CDM
$1,192
$1,192
$1,192
5
clean
HC ED REPAIR OF WOUND OR LESION 2.6 TO 7.5CM CMPLX EYLD NS ERS LIP CDM
$609
$609
$609
10
clean
CMPLX RPR E/N/E/L ADDL 5CM/<
—
—
$138
1
clean
HC PR 13160 LATE CLOSURE OF WOUND EXTENSIVE OR COMPLICATED
$2,099
$2,099
$2,099
5
clean
TIS TRNFR TRUNK 10 SQ CM/<
—
—
$511
1
clean
TIS TRNFR TRUNK 10.1-30SQCM
—
—
$664
1
clean
TIS TRNFR S/A/L 10 SQ CM/<
—
—
$572
1
clean
HC PR 14021 SKIN TISSUE REARRANGEMENT 10.1 SQ CM TO 30.0 SQ CM
$3,051
$3,051
$3,051
5
clean
TIS TRNFR F/C/C/M/N/A/G/H/F
—
—
$629
1
clean
TIS TRNFR F/C/C/M/N/A/G/H/F
—
—
$769
1
clean
HC PR 14060 SKIN TISSUE REARRANGEMENT 10 SQ CM OR LESS EYLDS NS ERS LI
$2,926
$2,926
$2,926
5
clean
TIS TRNFR E/N/E/L10.1-30SQCM
—
—
$825
1
clean
TIS TRNFR ANY 30.1-60 SQ CM
—
—
$881
1
clean
TIS TRNFR ADDL 30 SQ CM
—
—
$219
1
clean
FILLETED FINGER/TOE FLAP
—
—
$692
1
clean
WOUND PREP TRK/ARM/LEG
—
—
$223
1
clean
WOUND PREP ADDL 100 CM
—
—
$46
1
clean
WOUND PREP F/N/HF/G
—
—
$265
1
clean
WND PREP F/N/HF/G ADDL CM
—
—
$93
1
clean
HARVEST CULTURED SKIN GRAFT
—
—
$126
1
clean
PINCH GRAFT UP TO 2 CM DIAM
—
—
$473
1
clean
SKIN SPLT GRFT TRNK/ARM/LEG
—
—
$732
1
clean
SKIN SPLT GRFT T/A/L ADD-ON
—
—
$115
1
clean
EPIDRM AUTOGRFT TRNK/ARM/LEG
—
—
$726
1
clean
EPIDRM AUTOGRFT T/A/L ADD-ON
—
—
$104
1
clean
EPIDRM A-GRFT FACE/NCK/HF/G
—
—
$704
1
clean
EPIDRM A-GRFT F/N/HF/G ADDL
—
—
$152
1
clean
SKN SPLT A-GRFT FAC/NCK/HF/G
—
—
$703
1
clean
SKN SPLT A-GRFT F/N/HF/G ADD
—
—
$138
1
clean
DERM AUTOGRAFT TRNK/ARM/LEG
—
—
$609
1
clean
DERM AUTOGRAFT T/A/L ADD-ON
—
—
$91
1
clean

Showing the first 200 of 18,697 code–setting items in the file, verified codes first — every row as JSON →

Findings

Service
Severity
Rule
Detail
CPT G0071/b
warn
mrf_negotiated_above_gross
highest negotiated rate $24 exceeds the gross charge $23
CPT 27230/b
warn
mrf_negotiated_above_gross
highest negotiated rate $494 exceeds the gross charge $176
CPT 51102/b
warn
mrf_negotiated_above_gross
highest negotiated rate $146 exceeds the gross charge $110
CPT 88104/b
warn
mrf_negotiated_above_gross
highest negotiated rate $68 exceeds the gross charge $67
CPT 88108/b
warn
mrf_negotiated_above_gross
highest negotiated rate $65 exceeds the gross charge $49
CPT 88173/b
warn
mrf_negotiated_above_gross
highest negotiated rate $160 exceeds the gross charge $128
CPT 88307/b
warn
mrf_negotiated_above_gross
highest negotiated rate $291 exceeds the gross charge $175
CPT 88309/b
warn
mrf_negotiated_above_gross
highest negotiated rate $442 exceeds the gross charge $317
CPT 88331/b
warn
mrf_negotiated_above_gross
highest negotiated rate $103 exceeds the gross charge $98
warn
mrf_rate_without_estimate
74,735 of 74,735 percentage/algorithm rates across 16,093 items carry no estimated dollar amount, which the template has required since 1 January 2025 — none of them do
CPT 25111/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 83921/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 B4185/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 25500/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 83986/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 25560/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 83993/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 G0121/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 25565/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 84075/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 J0129/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 25605/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 84100/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 J0131/b
info
mrf_item_fields_vary
this code and setting cover at least 7 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 26055/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 84120/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J0133/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 26080/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 84132/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J0165/b
info
mrf_item_fields_vary
this code and setting cover at least 7 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 26700/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 84133/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 J0248/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 26735/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 84144/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 J0278/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 26770/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 84153/b
info
mrf_item_fields_vary
this code and setting cover at least 10 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J0282/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 27093/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 84154/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 J0290/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 27130/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 84155/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 J0360/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 84156/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 J0461/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 27245/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 84165/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 J0475/b
info
mrf_item_fields_vary
this code and setting cover at least 7 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 27265/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 84166/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J0500/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 27369/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 84244/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 J0561/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 27428/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 84255/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 J0574/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 27447/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 84260/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 J0585/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 27650/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 84295/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 J0612/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 27698/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 84300/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 J0616/b
info
mrf_item_fields_vary
this code and setting cover at least 7 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 27758/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 84305/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 J0640/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 27762/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 84311/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 J0650/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 27788/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 84402/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 J0665/b
info
mrf_item_fields_vary
this code and setting cover at least 15 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 27840/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 84403/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 J0690/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 27842/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 84436/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 J0692/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 28208/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 84439/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 J0696/b
info
mrf_item_fields_vary
this code and setting cover at least 20 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 28495/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 84443/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 J0702/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 28515/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 84445/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 J0706/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 29075/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 84450/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 J0713/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 29105/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 84460/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 J0717/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 29125/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 84466/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 J0736/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 29130/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 84481/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 J0743/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 29280/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 84482/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 J0744/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 29505/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 84520/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 J0878/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 29515/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 84550/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 J0881/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 29550/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 84560/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 J0885/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 29580/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 84702/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 J0894/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 29822/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 85007/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 J0897/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 29823/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 85025/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 J1010/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 29826/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 85027/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 J1050/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 29827/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 85240/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 J1071/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 29881/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 85245/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 J1100/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 29888/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 85246/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 J1160/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 30300/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 85300/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 J1163/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 30901/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 85301/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 J1171/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 30905/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 85303/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 J1200/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 31500/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 85305/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 J1250/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 31502/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 85306/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 J1265/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 31575/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 85307/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 J1303/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 32551/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 85379/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 J1308/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 32554/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 85610/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 J1327/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 32555/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 85613/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 J1335/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 36415/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 85651/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 J1447/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 36416/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 85670/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 J1450/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 36430/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 85730/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 J1453/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 36556/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 86003/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 J1459/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 36561/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 86022/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 J1561/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 36569/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 86037/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 J1569/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 36589/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 86038/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 J1580/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 36600/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 86041/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 J1596/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 41800/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 86140/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 J1610/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 42820/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 86146/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 J1642/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 43215/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 86147/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 J1644/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 43239/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 86160/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 J1650/b
info
mrf_item_fields_vary
this code and setting cover at least 40 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

Showing the first 200 of 778 findings, errors first — every finding as JSON →

Sources for this hospital

the files read, as fetched — not our copy of them
  1. MUP_INP_RY26_P03_V10_DY24_PrvSvc.CSV · 38.0M bytes · fetched 2026-08-21 · sha256 2ab6da15be4c… · publisher's page · public domain (US federal)
  2. MUP_OUT_RY26_P04_V10_DY24_Prov_Svc.csv · 28.1M bytes · fetched 2026-08-21 · sha256 f293918edbf6… · publisher's page · public domain (US federal)
  3. chsp-hospital-linkage-2023.csv · 1.5M bytes · fetched 2026-08-21 · sha256 a86146f10c8d… · publisher's page · public; cite AHRQ Compendium of U.S. Health Systems
  4. 2020 ZCTA to County relationship file · US Census Bureau · 2020
    tab20_zcta520_county20_natl.txt · 6.8M bytes · fetched 2026-08-21 · sha256 3ed41278d637… · publisher's page · public domain (US federal)
  5. · csv-tall · 23.0M bytes · fetched 2026-08-24 · sha256 c7a7d578ade8…

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.