Hospital · CCN 290003
Sunrise Hospital And Medical Center
3186 S Maryland Pkwy, Las Vegas, NV 89109 · Clark County
Part of HCA Healthcare · 748 beds · 5
Metropolitan area core: primary flow within an urbanized area of 50,000 and greater
141 admission types 57 outpatient services price file: ok 126 Medicare-file findings
Billed per dollar paid, all admissions
13.46×
$1,274.7M billed against $94.7M paid across 4,766 Medicare discharges; the national figure is 5.03×.
6.6%
of adults in Clark County have medical debt in collections
13.6%
uninsured in the county · state 13.2%
$75K
median household income
11.3×
billed ÷ paid, inpatient, summed over the county's hospitals in the Medicare file (14 in the inpatient or outpatient file)ⓘ
31.4%
obesity in the countyⓘ
12.4%
diagnosed diabetes (PLACES)
6.2%
coronary heart disease (PLACES)
—
median age · — below poverty (ACS)
01 · Admissions
What it billed Medicare, by admission type
Average charge submitted and average total payment per discharge, 2024. Rows under 11 discharges are suppressed by CMS. The last column is the hospital's ratio against its state's for the same admission.
DRG
Admission
Discharges
Charge
Paid
Billed ÷ paid
871
Septicemia or severe sepsis without mv >96 hours with mcc
589
$235,434
$17,733
13.3× st 10.1×
853
Infectious and parasitic diseases with o.r. procedures with mcc
193
$654,975
$45,827
14.3× st 9.9×
291
Heart failure and shock with mcc
169
$146,699
$11,628
12.6× st 8.3×
872
Septicemia or severe sepsis without mv >96 hours without mcc
111
$136,342
$9,763
14.0× st 10.0×
208
Respiratory system diagnosis with ventilator support <=96 hours
102
$315,761
$25,109
12.6× st 11.0×
064
Intracranial hemorrhage or cerebral infarction with mcc
92
$287,701
$16,921
17.0× st 11.0×
682
Renal failure with mcc
90
$175,211
$13,476
13.0× st 9.4×
193
Simple pneumonia and pleurisy with mcc
87
$148,723
$12,183
12.2× st 8.7×
189
Pulmonary edema and respiratory failure
78
$134,698
$11,492
11.7× st 7.5×
552
Medical back problems without mcc
75
$117,987
$9,459
12.5× st 9.4×
280
Acute myocardial infarction, discharged alive with mcc
71
$200,240
$15,070
13.3× st 9.2×
640
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc
70
$116,295
$12,006
9.7× st 8.5×
392
Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc
62
$96,877
$7,739
12.5× st 10.4×
698
Other kidney and urinary tract diagnoses with mcc
59
$173,589
$14,651
11.8× st 10.2×
683
Renal failure with cc
57
$121,682
$9,330
13.0× st 8.8×
870
Septicemia or severe sepsis with mv >96 hours
56
$815,078
$52,915
15.4× st 11.1×
641
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc
48
$100,395
$7,702
13.0× st 8.6×
378
Gastrointestinal hemorrhage with cc
47
$106,270
$9,603
11.1× st 9.8×
312
Syncope and collapse
47
$106,105
$8,316
12.8× st 9.7×
377
Gastrointestinal hemorrhage with mcc
46
$204,868
$16,180
12.7× st 9.7×
025
Craniotomy and endovascular intracranial procedures with mcc
46
$703,290
$39,419
17.8× st 10.2×
481
Hip and femur procedures except major joint with cc
44
$200,449
$18,418
10.9× st 7.5×
069
Transient ischemia without thrombolytic
42
$108,347
$8,037
13.5× st 13.9×
082
Traumatic stupor and coma >1 hour with mcc
42
$309,120
$20,403
15.2× st 9.1×
321
Percutaneous cardiovascular procedures with intraluminal device with mcc or 4+ arteries/
42
$446,947
$29,084
15.4× st 11.0×
101
Seizures without mcc
42
$90,461
$8,743
10.3× st 8.6×
470
Major hip and knee joint replacement or reattachment of lower extremity without mcc
41
$232,799
$19,946
11.7× st 10.0×
065
Intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours
39
$156,007
$9,147
17.1× st 9.7×
699
Other kidney and urinary tract diagnoses with cc
39
$106,071
$9,532
11.1× st 8.9×
885
Psychoses
38
$174,018
$12,716
13.7× st 2.9×
322
Percutaneous cardiovascular procedures with intraluminal device without mcc
37
$258,386
$18,005
14.4× st 11.6×
267
Endovascular cardiac valve replacement and supplement procedures without mcc
36
$574,214
$51,644
11.1× st 8.5×
100
Seizures with mcc
35
$193,833
$18,312
10.6× st 9.3×
305
Hypertension without mcc
35
$93,871
$7,511
12.5× st 11.8×
177
Respiratory infections and inflammations with mcc
33
$193,926
$17,326
11.2× st 8.4×
854
Infectious and parasitic diseases with o.r. procedures with cc
32
$456,584
$25,029
18.2× st 10.9×
086
Traumatic stupor and coma <1 hour with cc
32
$134,073
$12,615
10.6× st 6.9×
811
Red blood cell disorders with mcc
31
$145,091
$13,063
11.1× st 10.2×
309
Cardiac arrhythmia and conduction disorders with cc
30
$99,659
$7,350
13.6× st 8.7×
394
Other digestive system diagnoses with cc
30
$114,499
$9,156
12.5× st 9.8×
444
Disorders of the biliary tract with mcc
30
$193,376
$15,309
12.6× st 8.3×
638
Diabetes with cc
30
$109,559
$7,783
14.1× st 9.7×
163
Major chest procedures with mcc
29
$613,832
$37,320
16.4× st 10.3×
314
Other circulatory system diagnoses with mcc
29
$229,758
$18,671
12.3× st 9.1×
522
Hip replacement with principal diagnosis of hip fracture without mcc
29
$226,724
$20,173
11.2× st 8.2×
083
Traumatic stupor and coma >1 hour with cc
29
$150,450
$12,867
11.7× st 6.7×
981
Extensive o.r. procedures unrelated to principal diagnosis with mcc
29
$460,059
$39,616
11.6× st 7.3×
690
Kidney and urinary tract infections without mcc
28
$92,122
$7,526
12.2× st 9.7×
432
Cirrhosis and alcoholic hepatitis with mcc
28
$187,016
$17,059
11.0× st 8.7×
884
Organic disturbances and intellectual disability
28
$147,348
$13,624
10.8× st 9.7×
389
Gastrointestinal obstruction with cc
27
$97,861
$7,702
12.7× st 9.3×
308
Cardiac arrhythmia and conduction disorders with mcc
27
$145,868
$10,890
13.4× st 9.0×
023
Craniotomy with major device implant or acute complex cns principal diagnosis with mcc o
27
$871,578
$48,264
18.1× st 8.9×
057
Degenerative nervous system disorders without mcc
27
$106,173
$12,709
8.4× st 8.3×
551
Medical back problems with mcc
27
$181,848
$14,508
12.5× st 9.6×
673
Other kidney and urinary tract procedures with mcc
26
$417,959
$34,652
12.1× st 9.7×
313
Chest pain
25
$101,992
$7,252
14.1× st 13.1×
445
Disorders of the biliary tract with cc
25
$147,639
$10,515
14.0× st 11.1×
812
Red blood cell disorders without mcc
25
$73,596
$9,476
7.8× st 8.6×
003
Ecmo or tracheostomy with mv >96 hours or principal diagnosis except face, mouth and nec
24
$2,110,034
$178,652
11.8× st 7.2×
393
Other digestive system diagnoses with mcc
24
$222,912
$15,127
14.7× st 10.2×
917
Poisoning and toxic effects of drugs with mcc
24
$203,450
$14,567
14.0× st 8.6×
480
Hip and femur procedures except major joint with mcc
24
$276,707
$25,148
11.0× st 6.9×
207
Respiratory system diagnosis with ventilator support >96 hours
24
$611,884
$49,672
12.3× st 8.7×
085
Traumatic stupor and coma <1 hour with mcc
23
$194,731
$19,474
10.0× st 8.0×
071
Other cerebrovascular disorders with cc
23
$112,195
$9,755
11.5× st 8.0×
896
Alcohol, drug abuse or dependence without rehabilitation therapy with mcc
23
$200,166
$15,126
13.2× st 7.4×
149
Dysequilibrium
23
$111,993
$7,531
14.9× st 13.0×
281
Acute myocardial infarction, discharged alive with cc
23
$149,912
$9,524
15.7× st 9.9×
286
Circulatory disorders except ami, with cardiac catheterization with mcc
22
$351,415
$19,889
17.7× st 10.4×
274
Percutaneous and other intracardiac procedures without mcc
22
$464,585
$28,972
16.0× st 7.6×
300
Peripheral vascular disorders with cc
21
$115,611
$9,800
11.8× st 9.9×
184
Major chest trauma with cc
21
$128,039
$10,173
12.6× st 7.7×
637
Diabetes with mcc
21
$202,871
$11,934
17.0× st 9.9×
252
Other vascular procedures with mcc
21
$328,452
$30,269
10.9× st 8.5×
091
Other disorders of nervous system with mcc
20
$135,887
$15,657
8.7× st 7.7×
329
Major small and large bowel procedures with mcc
20
$565,952
$37,905
14.9× st 9.3×
266
Endovascular cardiac valve replacement and supplement procedures with mcc
20
$901,555
$59,180
15.2× st 7.2×
270
Other major cardiovascular procedures with mcc
20
$789,699
$47,977
16.5× st 9.9×
287
Circulatory disorders except ami, with cardiac catheterization without mcc
20
$194,399
$10,420
18.7× st 12.3×
556
Signs and symptoms of musculoskeletal system and connective tissue without mcc
19
$90,321
$8,160
11.1× st 10.5×
603
Cellulitis without mcc
19
$90,637
$8,719
10.4× st 8.9×
493
Lower extremity and humerus procedures except hip, foot and femur with cc
19
$303,900
$21,899
13.9× st 7.7×
092
Other disorders of nervous system with cc
19
$116,192
$9,466
12.3× st 9.4×
175
Pulmonary embolism with mcc or acute cor pulmonale
18
$190,307
$13,055
14.6× st 8.8×
945
Rehabilitation with cc/mcc
18
$123,167
$13,782
8.9× st 9.3×
689
Kidney and urinary tract infections with mcc
18
$196,494
$9,632
20.4× st 9.6×
299
Peripheral vascular disorders with mcc
18
$179,270
$13,780
13.0× st 8.6×
330
Major small and large bowel procedures with cc
18
$326,747
$18,933
17.3× st 8.4×
928
Full thickness burn with skin graft or inhalation injury with cc/mcc
18
$894,726
$51,574
17.3× st 17.3×
563
Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without mcc
18
$127,889
$8,823
14.5× st 10.2×
897
Alcohol, drug abuse or dependence without rehabilitation therapy without mcc
17
$101,309
$8,465
12.0× st 5.7×
469
Major hip and knee joint replacement or reattachment of lower extremity with mcc or tota
17
$272,253
$28,513
9.5× st 9.5×
660
Kidney and ureter procedures for non-neoplasm with cc
17
$184,292
$14,809
12.4× st 8.2×
200
Pneumothorax with cc
16
$134,546
$11,608
11.6× st 8.1×
919
Complications of treatment with mcc
16
$166,974
$31,803
5.3× st 7.5×
054
Nervous system neoplasms with mcc
16
$205,914
$13,043
15.8× st 6.0×
004
Tracheostomy with mv >96 hours or principal diagnosis except face, mouth and neck withou
16
$1,012,066
$82,786
12.2× st 10.0×
435
Malignancy of hepatobiliary system or pancreas with mcc
16
$163,728
$16,466
9.9× st 8.2×
310
Cardiac arrhythmia and conduction disorders without cc/mcc
16
$66,824
$6,069
11.0× st 10.3×
482
Hip and femur procedures except major joint without cc/mcc
16
$150,881
$14,740
10.2× st 6.3×
467
Revision of hip or knee replacement with cc
15
$460,884
$30,402
15.2× st 9.1×
084
Traumatic stupor and coma >1 hour without cc/mcc
15
$118,414
$8,455
14.0× st 9.2×
103
Headaches without mcc
15
$109,982
$8,136
13.5× st 13.5×
536
Fractures of hip and pelvis without mcc
15
$99,632
$7,779
12.8× st 8.6×
417
Laparoscopic cholecystectomy without c.d.e. with mcc
15
$328,487
$21,285
15.4× st 11.1×
304
Hypertension with mcc
15
$96,855
$11,019
8.8× st 10.0×
391
Esophagitis, gastroenteritis and miscellaneous digestive disorders with mcc
15
$152,356
$14,268
10.7× st 8.5×
253
Other vascular procedures with cc
15
$344,913
$23,143
14.9× st 10.4×
264
Other circulatory system o.r. procedures
15
$357,652
$25,765
13.9× st 13.9×
024
Craniotomy with major device implant or acute complex cns principal diagnosis without mc
15
$493,093
$34,763
14.2× st 7.7×
026
Craniotomy and endovascular intracranial procedures with cc
14
$429,935
$26,662
16.1× st 9.0×
180
Respiratory neoplasms with mcc
14
$259,555
$16,188
16.0× st 10.1×
935
Non-extensive burns
14
$210,708
$20,508
10.3× st 10.3×
439
Disorders of pancreas except malignancy with cc
14
$111,153
$9,095
12.2× st 10.7×
492
Lower extremity and humerus procedures except hip, foot and femur with mcc
14
$293,061
$29,283
10.0× st 6.2×
087
Traumatic stupor and coma <1 hour without cc/mcc
13
$104,412
$8,707
12.0× st 7.0×
542
Pathological fractures and musculoskeletal and connective tissue malignancy with mcc
13
$190,634
$15,832
12.0× st 8.0×
395
Other digestive system diagnoses without cc/mcc
13
$59,098
$6,603
9.0× st 9.0×
519
Back and neck procedures except spinal fusion with cc
13
$278,347
$18,081
15.4× st 10.5×
070
Other cerebrovascular disorders with mcc
13
$158,685
$14,608
10.9× st 6.2×
074
Cranial and peripheral nerve disorders without mcc
13
$129,216
$9,182
14.1× st 13.7×
742
Uterine and adnexa procedures for non-malignancy with cc/mcc
12
$209,482
$16,580
12.6× st 12.6×
557
Tendonitis, myositis and bursitis with mcc
12
$116,448
$12,139
9.6× st 9.6×
242
Permanent cardiac pacemaker implant with mcc
12
$448,555
$30,654
14.6× st 8.9×
199
Pneumothorax with mcc
12
$158,482
$17,504
9.1× st 6.3×
580
Other skin, subcutaneous tissue and breast procedures with cc
12
$155,167
$15,786
9.8× st 8.2×
271
Other major cardiovascular procedures with cc
12
$588,405
$35,858
16.4× st 12.1×
033
Ventricular shunt procedures without cc/mcc
12
$256,111
$14,300
17.9× st 17.9×
040
Peripheral, cranial nerve and other nervous system procedures with mcc
12
$557,603
$37,588
14.8× st 11.8×
521
Hip replacement with principal diagnosis of hip fracture with mcc
12
$265,926
$24,994
10.6× st 8.3×
374
Digestive malignancy with mcc
12
$260,554
$19,105
13.6× st 7.8×
813
Coagulation disorders
12
$110,367
$14,450
7.6× st 11.3×
483
Major joint or limb reattachment procedures of upper extremities
11
$306,845
$21,410
14.3× st 9.0×
446
Disorders of the biliary tract without cc/mcc
11
$93,231
$7,945
11.7× st 7.4×
907
Other o.r. procedures for injuries with mcc
11
$323,385
$38,343
8.4× st 6.5×
454
Combined anterior and posterior spinal fusion with cc
11
$826,266
$56,998
14.5× st 7.1×
466
Revision of hip or knee replacement with mcc
11
$480,496
$34,868
13.8× st 10.3×
219
Cardiac valve and other major cardiothoracic procedures without cardiac catheterization
11
$1,405,388
$65,325
21.5× st 9.1×
233
Coronary bypass with cardiac catheterization or open ablation with mcc
11
$1,391,159
$73,189
19.0× st 10.7×
027
Craniotomy and endovascular intracranial procedures without cc/mcc
11
$326,226
$24,579
13.3× st 7.8×
02 · Outpatient
Outpatient services
Comprehensive APCs, Medicare's outpatient payment groups: submitted charge against what Medicare allowed, per service.
APC
Service
Services
Charge
Allowed
Billed ÷ allowed
8011
Comprehensive Observation Services
235
$56,800
$2,853
19.9×
5492
Level 2 Intraocular Procedures
109
$83,552
$4,297
19.4×
5213
Level 3 Electrophysiologic Procedures
90
$352,440
$25,102
14.0×
5375
Level 5 Urology and Related Services
78
$73,148
$5,375
13.6×
5191
Level 1 Endovascular Procedures
65
$84,790
$3,380
25.1×
5374
Level 4 Urology and Related Services
64
$50,143
$3,734
13.4×
5193
Level 3 Endovascular Procedures
58
$165,979
$11,078
15.0×
5072
Level 2 Excision/ Biopsy/ Incision and Drainage
55
$28,461
$1,711
16.6×
5361
Level 1 Laparoscopy and Related Services
47
$95,426
$5,776
16.5×
5223
Level 3 Pacemaker and Similar Procedures
42
$104,624
$11,189
9.4×
5341
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures
39
$54,264
$3,588
15.1×
5183
Level 3 Vascular Procedures
38
$53,501
$3,414
15.7×
5373
Level 3 Urology and Related Services
38
$34,035
$2,181
15.6×
5114
Level 4 Musculoskeletal Procedures
35
$90,085
$7,494
12.0×
5091
Level 1 Breast/Lymphatic Surgery and Related Procedures
30
$57,873
$4,082
14.2×
5112
Level 2 Musculoskeletal Procedures
27
$22,415
$1,721
13.0×
5092
Level 2 Breast/Lymphatic Surgery and Related Procedures
26
$90,311
$6,984
12.9×
5493
Level 3 Intraocular Procedures
22
$126,135
$5,141
24.5×
5194
Level 4 Endovascular Procedures
19
$266,629
$18,736
14.2×
5115
Level 5 Musculoskeletal Procedures
19
$157,316
$13,416
11.7×
5222
Level 2 Pacemaker and Similar Procedures
18
$109,002
$8,821
12.4×
5113
Level 3 Musculoskeletal Procedures
18
$47,406
$3,467
13.7×
5378
Level 8 Urology and Related Services
17
$200,654
$21,548
9.3×
5073
Level 3 Excision/ Biopsy/ Incision and Drainage
17
$51,823
$2,779
18.7×
5184
Level 4 Vascular Procedures
16
$113,465
$5,333
21.3×
5165
Level 5 ENT Procedures
15
$120,410
$5,972
20.2×
5154
Level 4 Airway Endoscopy
13
$49,763
$3,766
13.2×
5232
Level 2 ICD and Similar Procedures
12
$368,769
$32,333
11.4×
5416
Level 6 Gynecologic Procedures
—
—
—
—
5415
Level 5 Gynecologic Procedures
—
—
—
—
5414
Level 4 Gynecologic Procedures
—
—
—
—
5192
Level 2 Endovascular Procedures
—
—
—
—
5431
Level 1 Nerve Procedures
—
—
—
—
5461
Level 1 Neurostimulator and Related Procedures
—
—
—
—
5462
Level 2 Neurostimulator and Related Procedures
—
—
—
—
5464
Level 4 Neurostimulator and Related Procedures
—
—
—
—
5465
Level 5 Neurostimulator and Related Procedures
—
—
—
—
5491
Level 1 Intraocular Procedures
—
—
—
—
5093
Level 3 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5503
Level 3 Extraocular, Repair, and Plastic Eye Procedures
—
—
—
—
5094
Level 4 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5376
Level 6 Urology and Related Services
—
—
—
—
5116
Level 6 Musculoskeletal Procedures
—
—
—
—
5200
Implantation Wireless PA Pressure Monitor
—
—
—
—
5212
Level 2 Electrophysiologic Procedures
—
—
—
—
5182
Level 2 Vascular Procedures
—
—
—
—
5164
Level 4 ENT Procedures
—
—
—
—
5231
Level 1 ICD and Similar Procedures
—
—
—
—
5302
Level 2 Upper GI Procedures
—
—
—
—
5303
Level 3 Upper GI Procedures
—
—
—
—
5331
Complex GI Procedures
—
—
—
—
5155
Level 5 Airway Endoscopy
—
—
—
—
5224
Level 4 Pacemaker and Similar Procedures
—
—
—
—
5362
Level 2 Laparoscopy and Related Services
—
—
—
—
5372
Level 2 Urology and Related Services
—
—
—
—
5153
Level 3 Airway Endoscopy
—
—
—
—
5377
Level 7 Urology and Related Services
—
—
—
—
03 · Its own price file
What the hospital's price-transparency file says
Found via sunrisehospital.com/cms-hpt.txt, the file itself ↗ read as json, last updated 2024-10-01, template 2.2.0, 771,974 rows scanned, 19,523 distinct code–setting items kept. 23,905 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
—
—
$720
118
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 Non-Facility
—
—
$510
40
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
—
—
$510
40
clean
Oncology (prostate) gene expression profile by real-time RT-PCR of 3 genes (ERG, PCA3, and SPDEF), urine, algorithm reported as risk score
—
—
$760
117
clean
Anesthesia for reconstructive procedures of eyelid (eg, blepharoplasty, ptosis surgery)
$72
$72
—
0
clean
Anesthesia for procedures on external, middle, and inner ear including biopsy; not otherwise specified
$72
$72
—
0
clean
Anesthesia for procedures on external, middle, and inner ear including biopsy; otoscopy
$72
$72
—
0
clean
Anesthesia for procedures on external, middle, and inner ear including biopsy; tympanotomy
$72
$72
—
0
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 Non-Facility
—
—
$760
117
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
—
—
$760
117
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
—
—
$1,305
116
clean
Anesthesia for procedures on nose and accessory sinuses; not otherwise specified
$72
$72
—
0
clean
Anesthesia for procedures on nose and accessory sinuses; radical surgery
$72
$72
—
0
clean
Anesthesia for procedures on nose and accessory sinuses; biopsy, soft tissue
$72
$72
—
0
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
—
—
$3,490
116
clean
Anesthesia for intraoral procedures, including biopsy; not otherwise specified
$72
$72
—
0
clean
Anesthesia for intraoral procedures, including biopsy; repair of cleft palate
$72
$72
—
0
clean
Anesthesia for intraoral procedures, including biopsy; excision of retropharyngeal tumor
$72
$72
—
0
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
—
—
$3,002
117
clean
Anesthesia for procedures on facial bones or skull; not otherwise specified
$72
$72
—
0
clean
Anesthesia for procedures on facial bones or skull; radical surgery (including prognathism)
$72
$72
—
0
clean
Anesthesia for intracranial procedures; craniotomy or craniectomy for evacuation of hematoma Non-Facility
$72
$72
—
0
clean
Anesthesia for intracranial procedures; burr holes, including ventriculography
$72
$72
—
0
clean
Anesthesia for intracranial procedures; cranioplasty or elevation of depressed skull fracture, extradural (simple or compound)
$72
$72
—
0
clean
Anesthesia for intracranial procedures; cerebrospinal fluid shunting procedures
$72
$72
—
0
clean
Anesthesia for intracranial procedures; electrocoagulation of intracranial nerve
$72
$72
—
0
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
—
—
$249
118
clean
Glycosylated acute phase proteins (GlycA), nuclear magnetic resonance spectroscopy, quantitative
—
—
$34
117
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
—
—
$3,600
117
clean
JAK2 (Janus kinase 2) (eg, myeloproliferative disorder) gene analysis, targeted sequence analysis exons 12-15
—
—
$122
117
clean
Drug metabolism (adverse drug reactions and drug response), targeted sequence analysis (ie, CYP1A2, CYP2C19, CYP2C9, CYP2D6, CYP3A4, CYP3A5, CYP4F2, SLCO1B1, VKORC1 and rs12777823)
—
—
$742
117
clean
Anesthesia for all procedures on the integumentary system, muscles and nerves of head, neck, and posterior trunk, not otherwise specified
$72
$72
—
0
clean
Anesthesia for all procedures on esophagus, thyroid, larynx, trachea and lymphatic system of neck; not otherwise specified, age 1 year or older
$72
$72
—
0
clean
Anesthesia for all procedures on esophagus, thyroid, larynx, trachea and lymphatic system of neck; needle biopsy of thyroid
$72
$72
—
0
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)
—
—
$466
117
clean
Anesthesia for procedures on major vessels of neck; not otherwise specified
$72
$72
—
0
clean
Neurology (prion disease), cerebrospinal fluid, detection of prion protein by quaking-induced conformational conversion, qualitative
—
—
$541
117
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
—
—
$3,500
118
clean
Anesthesia for procedures on the integumentary system on the extremities, anterior trunk and perineum; not otherwise specified
$72
$72
—
0
clean
Anesthesia for procedures on the integumentary system on the extremities, anterior trunk and perineum; reconstructive procedures on breast (eg, reduction or augmentation mammoplasty, muscle flaps)
$72
$72
—
0
clean
Anesthesia for procedures on the integumentary system on the extremities, anterior trunk and perineum; radical or modified radical procedures on breast
$72
$72
—
0
clean
Anesthesia for procedures on the integumentary system on the extremities, anterior trunk and perineum; radical or modified radical procedures on breast with internal mammary node dissection
$72
$72
—
0
clean
Anesthesia for procedures on the integumentary system on the extremities, anterior trunk and perineum; electrical conversion of arrhythmias
$72
$72
—
0
clean
Borrelia burgdorferi, antibody detection of 5 recombinant protein groups, by immunoblot, IgM
—
—
$17
117
clean
Borrelia burgdoferi, antibody detection of 12 recombinant protein groups, by immunoblot, IgG
—
—
$17
117
clean
Tick-borne relapsing fever Borrelia group, antibody detection to 4 recombinant protein groups, by immunoblot, IgM
—
—
$15
117
clean
Tick-borne replapsing fever Borrelia group, antibody detection to 4 recombinant protein groups, by immunoblot, IgG
—
—
$15
117
clean
Anesthesia for procedures on clavicle and scapula; not otherwise specified
$72
$72
—
0
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
—
—
$3,873
117
clean
Anesthesia for partial rib resection; radical procedures (eg, pectus excavatum)
$72
$72
—
0
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
—
—
$3,873
117
clean
Anesthesia for closed chest procedures; (including bronchoscopy) not otherwise specified
$72
$72
—
0
clean
Anesthesia for closed chest procedures; mediastinoscopy and diagnostic thoracoscopy not utilizing 1 lung ventilation
$72
$72
—
0
clean
Anesthesia for closed chest procedures; mediastinoscopy and diagnostic thoracoscopy utilizing 1 lung ventilation Non-Facility
$72
$72
—
0
clean
Anesthesia for transvenous insertion or replacement of pacing cardioverter-defibrillator
$72
$72
—
0
clean
Anesthesia for cardiac electrophysiologic procedures including radiofrequency ablation
$72
$72
—
0
clean
Anesthesia for thoracotomy procedures involving lungs, pleura, diaphragm, and mediastinum (including surgical thoracoscopy); not otherwise specified
$72
$72
—
0
clean
Anesthesia for thoracotomy procedures involving lungs, pleura, diaphragm, and mediastinum (including surgical thoracoscopy); utilizing 1 lung ventilation
$72
$72
—
0
clean
Anesthesia for thoracotomy procedures involving lungs, pleura, diaphragm, and mediastinum (including surgical thoracoscopy); decortication
$72
$72
—
0
clean
Anesthesia for thoracotomy procedures involving lungs, pleura, diaphragm, and mediastinum (including surgical thoracoscopy); pulmonary resection with thoracoplasty
$72
$72
—
0
clean
Anesthesia for thoracotomy procedures involving lungs, pleura, diaphragm, and mediastinum (including surgical thoracoscopy); intrathoracic procedures on the trachea and bronchi
$72
$72
—
0
clean
Computer-assisted musculoskeletal surgical navigational orthopedic procedure, with image-guidance based on fluoroscopic images (List separately in addition to code for primary procedure)
$818
$818
$1,706
57
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)
$818
$818
$1,706
57
clean
Anesthesia for procedures on heart, pericardial sac, and great vessels of chest; without pump oxygenator
$72
$72
—
0
clean
Anesthesia for procedures on heart, pericardial sac, and great vessels of chest; with pump oxygenator, age 1 year or older, for all noncoronary bypass procedures (eg, valve procedures) or for re-opera
$72
$72
—
0
clean
Anesthesia for procedures on heart, pericardial sac, and great vessels of chest; with pump oxygenator with hypothermic circulatory arrest
$72
$72
—
0
clean
Anesthesia for direct coronary artery bypass grafting; without pump oxygenator
$72
$72
—
0
clean
Anesthesia for direct coronary artery bypass grafting; with pump oxygenator Non-Facility
$72
$72
—
0
clean
Oncology (Merkel cell-carcinoma), detection of antibodies to the Merkel cell polyoma virus oncoprotein (small T antigen), serum, quantitative
—
—
$323
117
clean
Oncology (Merkel cell-carcinoma), detection of antibodies to the Merkel cell polyoma virus capsid protein (VP1), serum, reported as positive or negative
—
—
$323
117
clean
Anesthesia for procedures on cervical spine and cord; not otherwise specified
$72
$72
—
0
clean
Anesthesia for procedures on cervical spine and cord; procedures with patient in the sitting position
$72
$72
—
0
clean
Transcutaneous measurement of five biomarkers, using spatial frequency domain imaging (SFDI) and multi-spectral analysis
—
—
$25
117
clean
Anesthesia for procedures on thoracic spine and cord, not otherwise specified
$72
$72
—
0
clean
Anesthesia for procedures on the thoracic spine and cord, via an anterior transthoracic approach; not utilizing 1 lung ventilation Non-Facility
$72
$72
—
0
clean
Anesthesia for procedures on the thoracic spine and cord, via an anterior transthoracic approach; utilizing 1 lung ventilation Non-Facility
$72
$72
—
0
clean
Anesthesia for procedures in lumbar region; diagnostic or therapeutic lumbar puncture
$72
$72
—
0
clean
Anesthesia for manipulation of the spine or for closed procedures on the cervical, thoracic or lumbar spine
$72
$72
—
0
clean
Antibody, Treponema pallidum, total and rapid plasma reagin (RPR), immunoassay, qualitative
—
—
$31
118
clean
Anesthesia for extensive spine and spinal cord procedures (eg, spinal instrumentation or vascular procedures)
$72
$72
—
0
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
—
—
$143
118
clean
Anesthesia for procedures on upper anterior abdominal wall; not otherwise specified
$72
$72
—
0
clean
Anesthesia for procedures on upper anterior abdominal wall; percutaneous liver biopsy
$72
$72
—
0
clean
Anesthesia for upper gastrointestinal endoscopic procedures, endoscope introduced proximal to duodenum; not otherwise specified
$72
$72
—
0
clean
Anesthesia for upper gastrointestinal endoscopic procedures, endoscope introduced proximal to duodenum; endoscopic retrograde cholangiopancreatography (ERCP)
$72
$72
—
0
clean
Anesthesia for hernia repairs in upper abdomen; lumbar and ventral (incisional) hernias and/or wound dehiscence
$72
$72
—
0
clean
Anesthesia for hernia repairs in upper abdomen; transabdominal repair of diaphragmatic hernia
$72
$72
—
0
clean
Transcatheter placement of extracranial vertebral artery stent(s), including radiologic supervision and interpretation, open or percutaneous; initial vessel
$3,086
$3,086
$3,528
95
clean
Immunoglobulin paraprotein (M-protein), qualitative, immunoprecipitation and mass spectrometry, blood or urine, including isotype
—
—
$43
118
clean
Anesthesia for intraperitoneal procedures in upper abdomen including laparoscopy; not otherwise specified
$72
$72
—
0
clean
Anesthesia for intraperitoneal procedures in upper abdomen including laparoscopy; partial hepatectomy or management of liver hemorrhage (excluding liver biopsy)
$72
$72
—
0
clean
Anesthesia for intraperitoneal procedures in upper abdomen including laparoscopy; pancreatectomy, partial or total (eg, Whipple procedure)
$72
$72
—
0
clean
Anesthesia for intraperitoneal procedures in upper abdomen including laparoscopy; liver transplant (recipient)
$72
$72
—
0
clean
Anesthesia for intraperitoneal procedures in upper abdomen including laparoscopy; gastric restrictive procedure for morbid obesity
$72
$72
—
0
clean
Anesthesia for procedures on lower anterior abdominal wall; not otherwise specified
$72
$72
—
0
clean
Anesthesia for procedures on lower anterior abdominal wall; panniculectomy
$72
$72
—
0
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
—
—
$3,520
117
clean
Anesthesia for lower intestinal endoscopic procedures, endoscope introduced distal to duodenum; not otherwise specified
$72
$72
—
0
clean
Anesthesia for lower intestinal endoscopic procedures, endoscope introduced distal to duodenum; screening colonoscopy
$72
$72
—
0
clean
Anesthesia for combined upper and lower gastrointestinal endoscopic procedures, endoscope introduced both proximal to and distal to the duodenum
$72
$72
—
0
clean
Anesthesia for hernia repairs in lower abdomen; ventral and incisional hernias
$72
$72
—
0
clean
Anesthesia for hernia repairs in the lower abdomen not otherwise specified, infants younger than 37 weeks gestational age at birth and younger than 50 weeks gestational age at time of surgery
$72
$72
—
0
clean
Anesthesia for intraperitoneal procedures in lower abdomen including laparoscopy; not otherwise specified
$72
$72
—
0
clean
Anesthesia for intraperitoneal procedures in lower abdomen including laparoscopy; abdominoperineal resection
$72
$72
—
0
clean
Anesthesia for intraperitoneal procedures in lower abdomen including laparoscopy; radical hysterectomy
$72
$72
—
0
clean
Anesthesia for intraperitoneal procedures in lower abdomen including laparoscopy; pelvic exenteration
$72
$72
—
0
clean
Anesthesia for intraperitoneal procedures in lower abdomen including laparoscopy; tubal ligation/transection
$72
$72
—
0
clean
Anesthesia for extraperitoneal procedures in lower abdomen, including urinary tract; not otherwise specified
$72
$72
—
0
clean
Anesthesia for extraperitoneal procedures in lower abdomen, including urinary tract; renal procedures, including upper one-third of ureter, or donor nephrectomy
$72
$72
—
0
clean
Anesthesia for extraperitoneal procedures in lower abdomen, including urinary tract; total cystectomy
$72
$72
—
0
clean
Anesthesia for extraperitoneal procedures in lower abdomen, including urinary tract; radical prostatectomy (suprapubic, retropubic)
$72
$72
—
0
clean
Anesthesia for extraperitoneal procedures in lower abdomen, including urinary tract; adrenalectomy
$72
$72
—
0
clean
Anesthesia for extraperitoneal procedures in lower abdomen, including urinary tract; renal transplant (recipient)
$72
$72
—
0
clean
Anesthesia for extraperitoneal procedures in lower abdomen, including urinary tract; cystolithotomy
$72
$72
—
0
clean
Anesthesia for lithotripsy, extracorporeal shock wave; without water bath
$72
$72
—
0
clean
Anesthesia for procedures on major lower abdominal vessels; not otherwise specified
$72
$72
—
0
clean
Anesthesia for procedures on major lower abdominal vessels; inferior vena cava ligation
$72
$72
—
0
clean
Oncology (melanoma), gene expression profiling by RTqPCR, PRAME and LINC00518, superficial collection using adhesive patch(es)
—
—
$760
117
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
—
—
$1,755
117
clean
Anesthesia for transurethral procedures (including urethrocystoscopy); not otherwise specified
$72
$72
—
0
clean
Anesthesia for transurethral procedures (including urethrocystoscopy); transurethral resection of bladder tumor(s)
$72
$72
—
0
clean
Anesthesia for transurethral procedures (including urethrocystoscopy); transurethral resection of prostate
$72
$72
—
0
clean
Anesthesia for transurethral procedures (including urethrocystoscopy); post-transurethral resection bleeding
$72
$72
—
0
clean
Anesthesia for transurethral procedures (including urethrocystoscopy); with fragmentation, manipulation and/or removal of ureteral calculus
$72
$72
—
0
clean
Anesthesia for procedures on male genitalia (including open urethral procedures); not otherwise specified
$72
$72
—
0
clean
Anesthesia for procedures on male genitalia (including open urethral procedures); vasectomy, unilateral or bilateral
$72
$72
—
0
clean
Anesthesia for procedures on male genitalia (including open urethral procedures); seminal vesicles
$72
$72
—
0
clean
Anesthesia for procedures on male genitalia (including open urethral procedures); undescended testis, unilateral or bilateral
$72
$72
—
0
clean
Anesthesia for procedures on male genitalia (including open urethral procedures); radical orchiectomy, inguinal
$72
$72
—
0
clean
Anesthesia for procedures on male genitalia (including open urethral procedures); radical orchiectomy, abdominal
$72
$72
—
0
clean
Anesthesia for procedures on male genitalia (including open urethral procedures); orchiopexy, unilateral or bilateral
$72
$72
—
0
clean
Anesthesia for procedures on male genitalia (including open urethral procedures); complete amputation of penis
$72
$72
—
0
clean
Anesthesia for procedures on male genitalia (including open urethral procedures); radical amputation of penis with bilateral inguinal lymphadenectomy
$72
$72
—
0
clean
Anesthesia for procedures on male genitalia (including open urethral procedures); insertion of penile prosthesis (perineal approach)
$72
$72
—
0
clean
Anesthesia for vaginal procedures (including biopsy of labia, vagina, cervix or endometrium); not otherwise specified
$72
$72
—
0
clean
Anesthesia for vaginal procedures (including biopsy of labia, vagina, cervix or endometrium); colpotomy, vaginectomy, colporrhaphy, and open urethral procedures
$72
$72
—
0
clean
Anesthesia for vaginal procedures (including biopsy of labia, vagina, cervix or endometrium); vaginal hysterectomy
$72
$72
—
0
clean
Anesthesia for vaginal procedures (including biopsy of labia, vagina, cervix or endometrium); cervical cerclage
$72
$72
—
0
clean
Anesthesia for vaginal procedures (including biopsy of labia, vagina, cervix or endometrium); hysteroscopy and/or hysterosalpingography
$72
$72
—
0
clean
Extracorporeal shock wave involving musculoskeletal system, not otherwise specified
—
—
$3,528
69
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
—
—
$1,170
116
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
—
—
$950
117
clean
Quantitative sensory testing (QST), testing and interpretation per extremity; using touch pressure stimuli to assess large diameter sensation Non-Facility
—
—
$45
9
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
—
—
$874
118
clean
Quantitative sensory testing (QST), testing and interpretation per extremity; using vibration stimuli to assess large diameter fiber sensation Non-Facility
—
—
$36
9
clean
Quantitative sensory testing (QST), testing and interpretation per extremity; using cooling stimuli to assess small nerve fiber sensation and hyperalgesia Non-Facility
—
—
$36
9
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-
—
—
$2,513
117
clean
Quantitative sensory testing (QST), testing and interpretation per extremity; using heat-pain stimuli to assess small nerve fiber sensation and hyperalgesia Non-Facility
—
—
$36
9
clean
Anesthesia for bone marrow aspiration and/or biopsy, anterior or posterior iliac crest
$72
$72
—
0
clean
Infectious agent detection and identification, targeted sequence analysis (16S and 18S rRNA genes) with drug-resistance gene
—
—
$356
117
clean
Anesthesia for radical procedures for tumor of pelvis, except hindquarter amputation
$72
$72
—
0
clean
Anesthesia for closed procedures involving symphysis pubis or sacroiliac joint
$72
$72
—
0
clean
Anesthesia for open procedures involving symphysis pubis or sacroiliac joint
$72
$72
—
0
clean
Anesthesia for open repair of fracture disruption of pelvis or column fracture involving acetabulum Non-Facility
$72
$72
—
0
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
—
—
$2,753
117
clean
Cardiology, ceramides by liquid chromatography-tandem mass spectrometry, plasma, quantitative report with risk score for major cardiovascular events
—
—
$84
117
clean
Showing the first 200 of 19,523 code–setting items in the file, verified codes first — every row as JSON →
Findings
Service
Severity
Rule
Detail
warn
mrf_negotiated_above_gross_systematic
6,684 of 9,349 comparable items (71%) fail this check the same way — the column does not mean what the template says it means, for this file or for this reader; e.g. highest negotiated rate $1,952 exceeds the gross charge $818
warn
mrf_stale
last updated 2024-10-01, 695 days ago; the rule requires an update at least once a year
CPT 0016U/o
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 0356U/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 0603T/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 19361/o
info
mrf_item_fields_vary
this code and setting cover at least 19 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 23920/o
info
mrf_item_fields_vary
this code and setting cover at least 19 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 25065/o
info
mrf_item_fields_vary
this code and setting cover at least 16 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 25690/o
info
mrf_item_fields_vary
this code and setting cover at least 17 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 27146/o
info
mrf_item_fields_vary
this code and setting cover at least 19 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 27441/o
info
mrf_item_fields_vary
this code and setting cover at least 18 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 27720/o
info
mrf_item_fields_vary
this code and setting cover at least 18 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 29200/o
info
mrf_item_fields_vary
this code and setting cover at least 16 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 32663/o
info
mrf_item_fields_vary
this code and setting cover at least 18 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 33365/o
info
mrf_item_fields_vary
this code and setting cover at least 18 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 33779/o
info
mrf_item_fields_vary
this code and setting cover at least 18 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 34707/o
info
mrf_item_fields_vary
this code and setting cover at least 18 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 36573/o
info
mrf_item_fields_vary
this code and setting cover at least 17 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 38205/o
info
mrf_item_fields_vary
this code and setting cover at least 18 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 41120/o
info
mrf_item_fields_vary
this code and setting cover at least 18 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 44373/o
info
mrf_item_fields_vary
this code and setting cover at least 17 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 45540/o
info
mrf_item_fields_vary
this code and setting cover at least 19 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 47536/o
info
mrf_item_fields_vary
this code and setting cover at least 17 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 55867/o
info
mrf_item_fields_vary
this code and setting cover at least 18 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 58180/o
info
mrf_item_fields_vary
this code and setting cover at least 18 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 59414/o
info
mrf_item_fields_vary
this code and setting cover at least 17 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 61552/o
info
mrf_item_fields_vary
this code and setting cover at least 17 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 62263/o
info
mrf_item_fields_vary
this code and setting cover at least 17 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 67345/o
info
mrf_item_fields_vary
this code and setting cover at least 17 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 69220/o
info
mrf_item_fields_vary
this code and setting cover at least 17 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 72072/o
info
mrf_item_fields_vary
this code and setting cover at least 43 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 76080/o
info
mrf_item_fields_vary
this code and setting cover at least 42 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 78266/o
info
mrf_item_fields_vary
this code and setting cover at least 44 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 80408/o
info
mrf_item_fields_vary
this code and setting cover at least 11 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 81470/o
info
mrf_item_fields_vary
this code and setting cover at least 8 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 82746/o
info
mrf_item_fields_vary
this code and setting cover at least 11 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 86005/o
info
mrf_item_fields_vary
this code and setting cover at least 11 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 86812/o
info
mrf_item_fields_vary
this code and setting cover at least 11 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 87496/o
info
mrf_item_fields_vary
this code and setting cover at least 11 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 88273/o
info
mrf_item_fields_vary
this code and setting cover at least 11 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 90749/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 92609/o
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 93595/o
info
mrf_item_fields_vary
this code and setting cover at least 17 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 95913/o
info
mrf_item_fields_vary
this code and setting cover at least 35 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 98960/o
info
mrf_item_fields_vary
this code and setting cover at least 15 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 99457/o
info
mrf_item_fields_vary
this code and setting cover at least 12 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT A4402/o
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT A6253/o
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT B4161/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 C9285/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 D2952/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 D6250/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 D9974/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 E0784/o
info
mrf_item_fields_vary
this code and setting cover at least 9 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT E2324/o
info
mrf_item_fields_vary
this code and setting cover at least 9 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT G0379/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 G9488/o
info
mrf_item_fields_vary
this code and setting cover at least 9 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT J1955/o
info
mrf_item_fields_vary
this code and setting cover at least 9 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J3489/o
info
mrf_item_fields_vary
this code and setting cover at least 9 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT K0830/o
info
mrf_item_fields_vary
this code and setting cover at least 9 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT L2188/o
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT L5050/o
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT L6690/o
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT Q0091/o
info
mrf_item_fields_vary
this code and setting cover at least 13 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT Q4167/o
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT S0199/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 S9364/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 V5020/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
MS-DRG 262/i
info
mrf_item_fields_vary
this code and setting cover at least 7 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
MS-DRG 555/i
info
mrf_item_fields_vary
this code and setting cover at least 9 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
MS-DRG 887/i
info
mrf_item_fields_vary
this code and setting cover at least 8 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 0017M/o
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 01968/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 0358T/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 0604T/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 11045/o
info
mrf_item_fields_vary
this code and setting cover at least 16 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 12053/o
info
mrf_item_fields_vary
this code and setting cover at least 16 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 15834/o
info
mrf_item_fields_vary
this code and setting cover at least 15 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 21073/o
info
mrf_item_fields_vary
this code and setting cover at least 16 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 21470/o
info
mrf_item_fields_vary
this code and setting cover at least 18 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 22849/o
info
mrf_item_fields_vary
this code and setting cover at least 18 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 26541/o
info
mrf_item_fields_vary
this code and setting cover at least 19 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 28225/o
info
mrf_item_fields_vary
this code and setting cover at least 17 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 30430/o
info
mrf_item_fields_vary
this code and setting cover at least 18 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 31592/o
info
mrf_item_fields_vary
this code and setting cover at least 18 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 35587/o
info
mrf_item_fields_vary
this code and setting cover at least 18 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 43122/o
info
mrf_item_fields_vary
this code and setting cover at least 18 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 43520/o
info
mrf_item_fields_vary
this code and setting cover at least 19 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 49501/o
info
mrf_item_fields_vary
this code and setting cover at least 19 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 50576/o
info
mrf_item_fields_vary
this code and setting cover at least 18 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 52214/o
info
mrf_item_fields_vary
this code and setting cover at least 17 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 54111/o
info
mrf_item_fields_vary
this code and setting cover at least 18 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 63305/o
info
mrf_item_fields_vary
this code and setting cover at least 18 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 64713/o
info
mrf_item_fields_vary
this code and setting cover at least 17 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 65770/o
info
mrf_item_fields_vary
this code and setting cover at least 18 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 72074/o
info
mrf_item_fields_vary
this code and setting cover at least 43 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 76098/o
info
mrf_item_fields_vary
this code and setting cover at least 44 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 81274/o
info
mrf_item_fields_vary
this code and setting cover at least 8 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 82747/o
info
mrf_item_fields_vary
this code and setting cover at least 11 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 84163/o
info
mrf_item_fields_vary
this code and setting cover at least 11 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 86813/o
info
mrf_item_fields_vary
this code and setting cover at least 12 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 87497/o
info
mrf_item_fields_vary
this code and setting cover at least 11 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 88274/o
info
mrf_item_fields_vary
this code and setting cover at least 12 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 90750/o
info
mrf_item_fields_vary
this code and setting cover at least 7 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 92610/o
info
mrf_item_fields_vary
this code and setting cover at least 17 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 95919/o
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
CPT 98961/o
info
mrf_item_fields_vary
this code and setting cover at least 15 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT A4404/o
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT A6254/o
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT B4162/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 C9290/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 D2953/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 D6251/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 D9975/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 E0785/o
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT E2325/o
info
mrf_item_fields_vary
this code and setting cover at least 9 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT G0380/o
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT G9489/o
info
mrf_item_fields_vary
this code and setting cover at least 9 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT J0737/o
info
mrf_item_fields_vary
this code and setting cover at least 9 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT J1956/o
info
mrf_item_fields_vary
this code and setting cover at least 10 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J3490/o
info
mrf_item_fields_vary
this code and setting cover at least 69 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT J9049/o
info
mrf_item_fields_vary
this code and setting cover at least 10 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT K0831/o
info
mrf_item_fields_vary
this code and setting cover at least 9 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT L2190/o
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT L5060/o
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT L6691/o
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT Q0092/o
info
mrf_item_fields_vary
this code and setting cover at least 9 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT Q4168/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 S0207/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 S9365/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 V5030/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
MS-DRG 263/i
info
mrf_item_fields_vary
this code and setting cover at least 7 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
MS-DRG 556/i
info
mrf_item_fields_vary
this code and setting cover at least 9 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
MS-DRG 894/i
info
mrf_item_fields_vary
this code and setting cover at least 8 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 0017U/o
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 0358U/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 0605T/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 19364/o
info
mrf_item_fields_vary
this code and setting cover at least 18 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 23921/o
info
mrf_item_fields_vary
this code and setting cover at least 17 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 25066/o
info
mrf_item_fields_vary
this code and setting cover at least 18 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 25695/o
info
mrf_item_fields_vary
this code and setting cover at least 18 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 27147/o
info
mrf_item_fields_vary
this code and setting cover at least 19 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 27442/o
info
mrf_item_fields_vary
this code and setting cover at least 18 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 27722/o
info
mrf_item_fields_vary
this code and setting cover at least 18 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 29240/o
info
mrf_item_fields_vary
this code and setting cover at least 17 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 31595/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 32664/o
info
mrf_item_fields_vary
this code and setting cover at least 18 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 33366/o
info
mrf_item_fields_vary
this code and setting cover at least 18 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 33780/o
info
mrf_item_fields_vary
this code and setting cover at least 18 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 34708/o
info
mrf_item_fields_vary
this code and setting cover at least 18 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 36575/o
info
mrf_item_fields_vary
this code and setting cover at least 18 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 38206/o
info
mrf_item_fields_vary
this code and setting cover at least 17 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 41130/o
info
mrf_item_fields_vary
this code and setting cover at least 18 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 43123/o
info
mrf_item_fields_vary
this code and setting cover at least 18 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 43600/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 44376/o
info
mrf_item_fields_vary
this code and setting cover at least 17 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 45541/o
info
mrf_item_fields_vary
this code and setting cover at least 18 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 47537/o
info
mrf_item_fields_vary
this code and setting cover at least 16 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 55870/o
info
mrf_item_fields_vary
this code and setting cover at least 16 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 58200/o
info
mrf_item_fields_vary
this code and setting cover at least 18 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 59425/o
info
mrf_item_fields_vary
this code and setting cover at least 16 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 61556/o
info
mrf_item_fields_vary
this code and setting cover at least 18 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 62264/o
info
mrf_item_fields_vary
this code and setting cover at least 17 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 65771/o
info
mrf_item_fields_vary
this code and setting cover at least 11 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 67346/o
info
mrf_item_fields_vary
this code and setting cover at least 18 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 69222/o
info
mrf_item_fields_vary
this code and setting cover at least 17 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 72080/o
info
mrf_item_fields_vary
this code and setting cover at least 43 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 76100/o
info
mrf_item_fields_vary
this code and setting cover at least 43 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 78267/o
info
mrf_item_fields_vary
this code and setting cover at least 16 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 80410/o
info
mrf_item_fields_vary
this code and setting cover at least 11 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 81275/o
info
mrf_item_fields_vary
this code and setting cover at least 8 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 81471/o
info
mrf_item_fields_vary
this code and setting cover at least 8 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 84165/o
info
mrf_item_fields_vary
this code and setting cover at least 21 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 86008/o
info
mrf_item_fields_vary
this code and setting cover at least 11 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 87498/o
info
mrf_item_fields_vary
this code and setting cover at least 10 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 88275/o
info
mrf_item_fields_vary
this code and setting cover at least 12 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 90756/o
info
mrf_item_fields_vary
this code and setting cover at least 7 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 92611/o
info
mrf_item_fields_vary
this code and setting cover at least 17 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 93596/o
info
mrf_item_fields_vary
this code and setting cover at least 22 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 95921/o
info
mrf_item_fields_vary
this code and setting cover at least 37 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 98962/o
info
mrf_item_fields_vary
this code and setting cover at least 15 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 99458/o
info
mrf_item_fields_vary
this code and setting cover at least 12 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT A4405/o
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT A6255/o
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT B4164/o
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT C9293/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 D2954/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 D6252/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 D9991/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 E0786/o
info
mrf_item_fields_vary
this code and setting cover at least 9 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT E2326/o
info
mrf_item_fields_vary
this code and setting cover at least 9 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT G0381/o
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT G9490/o
info
mrf_item_fields_vary
this code and setting cover at least 9 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT J0739/o
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT J1960/o
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT J3520/o
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT J9050/o
info
mrf_item_fields_vary
this code and setting cover at least 10 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT K0835/o
info
mrf_item_fields_vary
this code and setting cover at least 9 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT L2192/o
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT L5100/o
info
mrf_item_fields_vary
this code and setting cover at least 6 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 23,905 findings, errors first — every finding as JSON →
04 · Checks
Where the Medicare rows do not agree with themselves
Service
Severity
Rule
Detail
MS-DRG 003
info
inp_charge_10x_payment
average charge $2,110,034 is 11.8× the total payment
MS-DRG 004
info
inp_charge_10x_payment
average charge $1,012,066 is 12.2× the total payment
MS-DRG 023
info
inp_charge_10x_payment
average charge $871,578 is 18.1× the total payment
MS-DRG 024
info
inp_charge_10x_payment
average charge $493,093 is 14.2× the total payment
MS-DRG 025
info
inp_charge_10x_payment
average charge $703,290 is 17.8× the total payment
MS-DRG 026
info
inp_charge_10x_payment
average charge $429,935 is 16.1× the total payment
MS-DRG 027
info
inp_charge_10x_payment
average charge $326,226 is 13.3× the total payment
MS-DRG 033
info
inp_charge_10x_payment
average charge $256,111 is 17.9× the total payment
MS-DRG 040
info
inp_charge_10x_payment
average charge $557,603 is 14.8× the total payment
MS-DRG 054
info
inp_charge_10x_payment
average charge $205,914 is 15.8× the total payment
MS-DRG 064
info
inp_charge_10x_payment
average charge $287,701 is 17.0× the total payment
MS-DRG 065
info
inp_charge_10x_payment
average charge $156,007 is 17.1× the total payment
MS-DRG 069
info
inp_charge_10x_payment
average charge $108,347 is 13.5× the total payment
MS-DRG 070
info
inp_charge_10x_payment
average charge $158,685 is 10.9× the total payment
MS-DRG 071
info
inp_charge_10x_payment
average charge $112,195 is 11.5× the total payment
MS-DRG 074
info
inp_charge_10x_payment
average charge $129,216 is 14.1× the total payment
MS-DRG 082
info
inp_charge_10x_payment
average charge $309,120 is 15.2× the total payment
MS-DRG 083
info
inp_charge_10x_payment
average charge $150,450 is 11.7× the total payment
MS-DRG 084
info
inp_charge_10x_payment
average charge $118,414 is 14.0× the total payment
MS-DRG 085
info
inp_charge_10x_payment
average charge $194,731 is 10.0× the total payment
MS-DRG 086
info
inp_charge_10x_payment
average charge $134,073 is 10.6× the total payment
MS-DRG 087
info
inp_charge_10x_payment
average charge $104,412 is 12.0× the total payment
MS-DRG 092
info
inp_charge_10x_payment
average charge $116,192 is 12.3× the total payment
MS-DRG 100
info
inp_charge_10x_payment
average charge $193,833 is 10.6× the total payment
MS-DRG 101
info
inp_charge_10x_payment
average charge $90,461 is 10.3× the total payment
MS-DRG 103
info
inp_charge_10x_payment
average charge $109,982 is 13.5× the total payment
MS-DRG 149
info
inp_charge_10x_payment
average charge $111,993 is 14.9× the total payment
MS-DRG 163
info
inp_charge_10x_payment
average charge $613,832 is 16.4× the total payment
MS-DRG 175
info
inp_charge_10x_payment
average charge $190,307 is 14.6× the total payment
MS-DRG 177
info
inp_charge_10x_payment
average charge $193,926 is 11.2× the total payment
MS-DRG 180
info
inp_charge_10x_payment
average charge $259,555 is 16.0× the total payment
MS-DRG 184
info
inp_charge_10x_payment
average charge $128,039 is 12.6× the total payment
MS-DRG 189
info
inp_charge_10x_payment
average charge $134,698 is 11.7× the total payment
MS-DRG 193
info
inp_charge_10x_payment
average charge $148,723 is 12.2× the total payment
MS-DRG 200
info
inp_charge_10x_payment
average charge $134,546 is 11.6× the total payment
MS-DRG 207
info
inp_charge_10x_payment
average charge $611,884 is 12.3× the total payment
MS-DRG 208
info
inp_charge_10x_payment
average charge $315,761 is 12.6× the total payment
MS-DRG 219
info
inp_charge_10x_payment
average charge $1,405,388 is 21.5× the total payment
MS-DRG 233
info
inp_charge_10x_payment
average charge $1,391,159 is 19.0× the total payment
MS-DRG 242
info
inp_charge_10x_payment
average charge $448,555 is 14.6× the total payment
MS-DRG 252
info
inp_charge_10x_payment
average charge $328,452 is 10.9× the total payment
MS-DRG 253
info
inp_charge_10x_payment
average charge $344,913 is 14.9× the total payment
MS-DRG 264
info
inp_charge_10x_payment
average charge $357,652 is 13.9× the total payment
MS-DRG 266
info
inp_charge_10x_payment
average charge $901,555 is 15.2× the total payment
MS-DRG 267
info
inp_charge_10x_payment
average charge $574,214 is 11.1× the total payment
MS-DRG 270
info
inp_charge_10x_payment
average charge $789,699 is 16.5× the total payment
MS-DRG 271
info
inp_charge_10x_payment
average charge $588,405 is 16.4× the total payment
MS-DRG 274
info
inp_charge_10x_payment
average charge $464,585 is 16.0× the total payment
MS-DRG 280
info
inp_charge_10x_payment
average charge $200,240 is 13.3× the total payment
MS-DRG 281
info
inp_charge_10x_payment
average charge $149,912 is 15.7× the total payment
MS-DRG 286
info
inp_charge_10x_payment
average charge $351,415 is 17.7× the total payment
MS-DRG 287
info
inp_charge_10x_payment
average charge $194,399 is 18.7× the total payment
MS-DRG 291
info
inp_charge_10x_payment
average charge $146,699 is 12.6× the total payment
MS-DRG 299
info
inp_charge_10x_payment
average charge $179,270 is 13.0× the total payment
MS-DRG 300
info
inp_charge_10x_payment
average charge $115,611 is 11.8× the total payment
MS-DRG 305
info
inp_charge_10x_payment
average charge $93,871 is 12.5× the total payment
MS-DRG 308
info
inp_charge_10x_payment
average charge $145,868 is 13.4× the total payment
MS-DRG 309
info
inp_charge_10x_payment
average charge $99,659 is 13.6× the total payment
MS-DRG 310
info
inp_charge_10x_payment
average charge $66,824 is 11.0× the total payment
MS-DRG 312
info
inp_charge_10x_payment
average charge $106,105 is 12.8× the total payment
MS-DRG 313
info
inp_charge_10x_payment
average charge $101,992 is 14.1× the total payment
MS-DRG 314
info
inp_charge_10x_payment
average charge $229,758 is 12.3× the total payment
MS-DRG 321
info
inp_charge_10x_payment
average charge $446,947 is 15.4× the total payment
MS-DRG 322
info
inp_charge_10x_payment
average charge $258,386 is 14.4× the total payment
MS-DRG 329
info
inp_charge_10x_payment
average charge $565,952 is 14.9× the total payment
MS-DRG 330
info
inp_charge_10x_payment
average charge $326,747 is 17.3× the total payment
MS-DRG 374
info
inp_charge_10x_payment
average charge $260,554 is 13.6× the total payment
MS-DRG 377
info
inp_charge_10x_payment
average charge $204,868 is 12.7× the total payment
MS-DRG 378
info
inp_charge_10x_payment
average charge $106,270 is 11.1× the total payment
MS-DRG 389
info
inp_charge_10x_payment
average charge $97,861 is 12.7× the total payment
MS-DRG 391
info
inp_charge_10x_payment
average charge $152,356 is 10.7× the total payment
MS-DRG 392
info
inp_charge_10x_payment
average charge $96,877 is 12.5× the total payment
MS-DRG 393
info
inp_charge_10x_payment
average charge $222,912 is 14.7× the total payment
MS-DRG 394
info
inp_charge_10x_payment
average charge $114,499 is 12.5× the total payment
MS-DRG 417
info
inp_charge_10x_payment
average charge $328,487 is 15.4× the total payment
MS-DRG 432
info
inp_charge_10x_payment
average charge $187,016 is 11.0× the total payment
MS-DRG 439
info
inp_charge_10x_payment
average charge $111,152 is 12.2× the total payment
MS-DRG 444
info
inp_charge_10x_payment
average charge $193,376 is 12.6× the total payment
MS-DRG 445
info
inp_charge_10x_payment
average charge $147,639 is 14.0× the total payment
MS-DRG 446
info
inp_charge_10x_payment
average charge $93,231 is 11.7× the total payment
MS-DRG 454
info
inp_charge_10x_payment
average charge $826,266 is 14.5× the total payment
MS-DRG 466
info
inp_charge_10x_payment
average charge $480,496 is 13.8× the total payment
MS-DRG 467
info
inp_charge_10x_payment
average charge $460,884 is 15.2× the total payment
MS-DRG 470
info
inp_charge_10x_payment
average charge $232,799 is 11.7× the total payment
MS-DRG 480
info
inp_charge_10x_payment
average charge $276,706 is 11.0× the total payment
MS-DRG 481
info
inp_charge_10x_payment
average charge $200,449 is 10.9× the total payment
MS-DRG 482
info
inp_charge_10x_payment
average charge $150,881 is 10.2× the total payment
MS-DRG 483
info
inp_charge_10x_payment
average charge $306,845 is 14.3× the total payment
MS-DRG 492
info
inp_charge_10x_payment
average charge $293,061 is 10.0× the total payment
MS-DRG 493
info
inp_charge_10x_payment
average charge $303,900 is 13.9× the total payment
MS-DRG 519
info
inp_charge_10x_payment
average charge $278,347 is 15.4× the total payment
MS-DRG 521
info
inp_charge_10x_payment
average charge $265,926 is 10.6× the total payment
MS-DRG 522
info
inp_charge_10x_payment
average charge $226,724 is 11.2× the total payment
MS-DRG 536
info
inp_charge_10x_payment
average charge $99,632 is 12.8× the total payment
MS-DRG 542
info
inp_charge_10x_payment
average charge $190,634 is 12.0× the total payment
MS-DRG 551
info
inp_charge_10x_payment
average charge $181,848 is 12.5× the total payment
MS-DRG 552
info
inp_charge_10x_payment
average charge $117,987 is 12.5× the total payment
MS-DRG 556
info
inp_charge_10x_payment
average charge $90,321 is 11.1× the total payment
MS-DRG 563
info
inp_charge_10x_payment
average charge $127,888 is 14.5× the total payment
MS-DRG 603
info
inp_charge_10x_payment
average charge $90,637 is 10.4× the total payment
MS-DRG 637
info
inp_charge_10x_payment
average charge $202,871 is 17.0× the total payment
MS-DRG 638
info
inp_charge_10x_payment
average charge $109,559 is 14.1× the total payment
MS-DRG 641
info
inp_charge_10x_payment
average charge $100,395 is 13.0× the total payment
MS-DRG 660
info
inp_charge_10x_payment
average charge $184,292 is 12.4× the total payment
MS-DRG 673
info
inp_charge_10x_payment
average charge $417,959 is 12.1× the total payment
MS-DRG 682
info
inp_charge_10x_payment
average charge $175,211 is 13.0× the total payment
MS-DRG 683
info
inp_charge_10x_payment
average charge $121,682 is 13.0× the total payment
MS-DRG 689
info
inp_charge_10x_payment
average charge $196,494 is 20.4× the total payment
MS-DRG 690
info
inp_charge_10x_payment
average charge $92,122 is 12.2× the total payment
MS-DRG 698
info
inp_charge_10x_payment
average charge $173,589 is 11.8× the total payment
MS-DRG 699
info
inp_charge_10x_payment
average charge $106,071 is 11.1× the total payment
MS-DRG 742
info
inp_charge_10x_payment
average charge $209,482 is 12.6× the total payment
MS-DRG 811
info
inp_charge_10x_payment
average charge $145,091 is 11.1× the total payment
MS-DRG 853
info
inp_charge_10x_payment
average charge $654,975 is 14.3× the total payment
MS-DRG 854
info
inp_charge_10x_payment
average charge $456,584 is 18.2× the total payment
MS-DRG 870
info
inp_charge_10x_payment
average charge $815,078 is 15.4× the total payment
MS-DRG 871
info
inp_charge_10x_payment
average charge $235,434 is 13.3× the total payment
MS-DRG 872
info
inp_charge_10x_payment
average charge $136,342 is 14.0× the total payment
MS-DRG 884
info
inp_charge_10x_payment
average charge $147,348 is 10.8× the total payment
MS-DRG 885
info
inp_charge_10x_payment
average charge $174,018 is 13.7× the total payment
MS-DRG 896
info
inp_charge_10x_payment
average charge $200,166 is 13.2× the total payment
MS-DRG 897
info
inp_charge_10x_payment
average charge $101,309 is 12.0× the total payment
MS-DRG 917
info
inp_charge_10x_payment
average charge $203,450 is 14.0× the total payment
MS-DRG 928
info
inp_charge_10x_payment
average charge $894,726 is 17.3× the total payment
MS-DRG 935
info
inp_charge_10x_payment
average charge $210,708 is 10.3× the total payment
MS-DRG 981
info
inp_charge_10x_payment
average charge $460,059 is 11.6× the total payment
Sources for this hospital
the files read, as fetched — not our copy of them- MUP_INP_RY26_P03_V10_DY24_PrvSvc.CSV · 38.0M bytes · fetched 2026-08-21 · sha256 2ab6da15be4c… · publisher's page · public domain (US federal)
- 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)
- 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 · 2020tab20_zcta520_county20_natl.txt · 6.8M bytes · fetched 2026-08-21 · sha256 3ed41278d637… · publisher's page · public domain (US federal)
- Sunrise Hospital and Medical Center — standard charges file · NV · updated 2024-10-01found via cms-hpt.txt · json · 999.6M bytes · fetched 2026-08-22 · sha256 c2f0c4541a55…
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.