Hospital · CCN 290041

Summerlin Hospital Medical Center

657 Town Center Drive, Las Vegas, NV 89144 · Clark County
Part of Universal Health Services · 416 beds · 5
Metropolitan area core: primary flow within an urbanized area of 50,000 and greater

74 admission types 54 outpatient services price file: ok 73 Medicare-file findings
Billed per dollar paid, all admissions
15.79×
$484.1M billed against $30.7M paid across 2,373 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
309
$302,391
$17,310
17.5× st 10.1×
193
Simple pneumonia and pleurisy with mcc
112
$178,475
$12,117
14.7× st 8.7×
291
Heart failure and shock with mcc
107
$176,697
$10,860
16.3× st 8.3×
177
Respiratory infections and inflammations with mcc
89
$227,442
$14,655
15.5× st 8.4×
392
Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc
89
$129,658
$7,731
16.8× st 10.4×
698
Other kidney and urinary tract diagnoses with mcc
70
$227,443
$14,201
16.0× st 10.2×
690
Kidney and urinary tract infections without mcc
67
$123,412
$7,095
17.4× st 9.7×
689
Kidney and urinary tract infections with mcc
58
$151,269
$10,062
15.0× st 9.6×
872
Septicemia or severe sepsis without mv >96 hours without mcc
55
$138,499
$9,775
14.2× st 10.0×
312
Syncope and collapse
51
$108,756
$7,765
14.0× st 9.7×
683
Renal failure with cc
50
$119,979
$8,747
13.7× st 8.8×
640
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc
46
$186,173
$11,367
16.4× st 8.5×
699
Other kidney and urinary tract diagnoses with cc
43
$128,107
$9,059
14.1× st 8.9×
378
Gastrointestinal hemorrhage with cc
43
$146,022
$9,149
16.0× st 9.8×
641
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc
41
$108,555
$7,513
14.5× st 8.6×
189
Pulmonary edema and respiratory failure
40
$171,769
$11,322
15.2× st 7.5×
853
Infectious and parasitic diseases with o.r. procedures with mcc
36
$741,890
$48,651
15.2× st 9.9×
603
Cellulitis without mcc
36
$137,161
$7,905
17.4× st 8.9×
280
Acute myocardial infarction, discharged alive with mcc
35
$266,625
$14,508
18.4× st 9.2×
309
Cardiac arrhythmia and conduction disorders with cc
34
$105,040
$6,851
15.3× st 8.7×
313
Chest pain
33
$109,852
$6,881
16.0× st 13.1×
308
Cardiac arrhythmia and conduction disorders with mcc
31
$143,696
$10,494
13.7× st 9.0×
377
Gastrointestinal hemorrhage with mcc
30
$215,666
$14,914
14.5× st 9.7×
305
Hypertension without mcc
28
$104,254
$7,101
14.7× st 11.8×
175
Pulmonary embolism with mcc or acute cor pulmonale
28
$202,522
$12,342
16.4× st 8.8×
682
Renal failure with mcc
28
$264,656
$14,320
18.5× st 9.4×
884
Organic disturbances and intellectual disability
26
$190,283
$15,287
12.4× st 9.7×
391
Esophagitis, gastroenteritis and miscellaneous digestive disorders with mcc
26
$166,782
$10,865
15.4× st 8.5×
813
Coagulation disorders
25
$245,308
$12,517
19.6× st 11.3×
552
Medical back problems without mcc
25
$118,913
$8,129
14.6× st 9.4×
194
Simple pneumonia and pleurisy with cc
24
$117,002
$7,896
14.8× st 9.1×
389
Gastrointestinal obstruction with cc
23
$89,914
$6,987
12.9× st 9.3×
057
Degenerative nervous system disorders without mcc
23
$120,365
$11,706
10.3× st 8.3×
322
Percutaneous cardiovascular procedures with intraluminal device without mcc
23
$339,520
$16,030
21.2× st 11.6×
522
Hip replacement with principal diagnosis of hip fracture without mcc
21
$280,180
$18,508
15.1× st 8.2×
812
Red blood cell disorders without mcc
21
$110,564
$8,247
13.4× st 8.6×
069
Transient ischemia without thrombolytic
20
$122,117
$7,670
15.9× st 13.9×
481
Hip and femur procedures except major joint with cc
20
$204,596
$16,823
12.2× st 7.5×
065
Intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours
19
$150,976
$9,190
16.4× st 9.7×
394
Other digestive system diagnoses with cc
19
$114,767
$11,791
9.7× st 9.8×
637
Diabetes with mcc
19
$165,462
$11,556
14.3× st 9.9×
329
Major small and large bowel procedures with mcc
19
$700,970
$35,549
19.7× st 9.3×
536
Fractures of hip and pelvis without mcc
18
$95,249
$6,740
14.1× st 8.6×
372
Major gastrointestinal disorders and peritoneal infections with cc
18
$148,901
$10,446
14.3× st 10.3×
287
Circulatory disorders except ami, with cardiac catheterization without mcc
18
$245,443
$9,784
25.1× st 12.3×
202
Bronchitis and asthma with cc/mcc
18
$139,424
$7,985
17.5× st 10.8×
563
Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without mcc
17
$92,832
$8,187
11.3× st 10.2×
638
Diabetes with cc
15
$119,053
$8,283
14.4× st 9.7×
064
Intracranial hemorrhage or cerebral infarction with mcc
15
$270,887
$17,072
15.9× st 11.0×
149
Dysequilibrium
15
$113,326
$7,145
15.9× st 13.0×
480
Hip and femur procedures except major joint with mcc
15
$333,005
$24,126
13.8× st 6.9×
694
Urinary stones without mcc
14
$88,172
$7,704
11.4× st 11.2×
270
Other major cardiovascular procedures with mcc
14
$468,898
$43,022
10.9× st 9.9×
660
Kidney and ureter procedures for non-neoplasm with cc
14
$155,803
$12,554
12.4× st 8.2×
811
Red blood cell disorders with mcc
14
$146,017
$12,524
11.7× st 10.2×
386
Inflammatory bowel disease with cc
14
$118,881
$8,807
13.5× st 13.5×
371
Major gastrointestinal disorders and peritoneal infections with mcc
14
$213,635
$14,683
14.5× st 11.2×
418
Laparoscopic cholecystectomy without c.d.e. with cc
13
$283,356
$16,024
17.7× st 10.8×
314
Other circulatory system diagnoses with mcc
12
$224,796
$19,554
11.5× st 9.1×
074
Cranial and peripheral nerve disorders without mcc
12
$169,956
$9,315
18.2× st 13.7×
707
Major male pelvic procedures with cc/mcc
12
$207,626
$15,836
13.1× st 13.1×
388
Gastrointestinal obstruction with mcc
12
$177,930
$11,416
15.6× st 7.0×
310
Cardiac arrhythmia and conduction disorders without cc/mcc
12
$87,596
$5,660
15.5× st 10.3×
281
Acute myocardial infarction, discharged alive with cc
12
$215,412
$8,348
25.8× st 9.9×
208
Respiratory system diagnosis with ventilator support <=96 hours
12
$430,961
$21,773
19.8× st 11.0×
321
Percutaneous cardiovascular procedures with intraluminal device with mcc or 4+ arteries/
12
$440,426
$25,024
17.6× st 11.0×
286
Circulatory disorders except ami, with cardiac catheterization with mcc
12
$362,712
$20,886
17.4× st 10.4×
330
Major small and large bowel procedures with cc
11
$247,133
$20,656
12.0× st 8.4×
439
Disorders of pancreas except malignancy with cc
11
$141,412
$8,559
16.5× st 10.7×
393
Other digestive system diagnoses with mcc
11
$204,305
$14,436
14.2× st 10.2×
643
Endocrine disorders with mcc
11
$232,946
$14,196
16.4× st 14.2×
717
Other male reproductive system o.r. procedures except malignancy with cc/mcc
11
$206,831
$15,938
13.0× st 13.0×
243
Permanent cardiac pacemaker implant with cc
11
$372,470
$19,878
18.7× st 10.5×
196
Interstitial lung disease with mcc
11
$177,234
$14,499
12.2× st 8.6×
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
504
$58,658
$2,841
20.6×
5191
Level 1 Endovascular Procedures
154
$67,765
$3,430
19.8×
5072
Level 2 Excision/ Biopsy/ Incision and Drainage
123
$26,083
$1,700
15.3×
5375
Level 5 Urology and Related Services
93
$78,948
$5,452
14.5×
5373
Level 3 Urology and Related Services
93
$47,097
$2,163
21.8×
5492
Level 2 Intraocular Procedures
83
$75,470
$4,320
17.5×
5374
Level 4 Urology and Related Services
83
$78,052
$3,557
21.9×
5193
Level 3 Endovascular Procedures
74
$199,592
$11,647
17.1×
5092
Level 2 Breast/Lymphatic Surgery and Related Procedures
59
$91,269
$6,984
13.1×
5361
Level 1 Laparoscopy and Related Services
40
$106,913
$5,860
18.2×
5183
Level 3 Vascular Procedures
39
$50,802
$3,357
15.1×
5213
Level 3 Electrophysiologic Procedures
37
$351,146
$24,731
14.2×
5362
Level 2 Laparoscopy and Related Services
35
$147,421
$11,012
13.4×
5154
Level 4 Airway Endoscopy
33
$57,871
$3,914
14.8×
5073
Level 3 Excision/ Biopsy/ Incision and Drainage
31
$31,517
$2,965
10.6×
5091
Level 1 Breast/Lymphatic Surgery and Related Procedures
29
$72,240
$4,082
17.7×
5341
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures
29
$78,807
$3,558
22.1×
5223
Level 3 Pacemaker and Similar Procedures
28
$201,912
$11,423
17.7×
5192
Level 2 Endovascular Procedures
22
$121,187
$6,121
19.8×
5165
Level 5 ENT Procedures
22
$126,644
$6,061
20.9×
5232
Level 2 ICD and Similar Procedures
19
$321,624
$33,374
9.6×
5184
Level 4 Vascular Procedures
18
$91,293
$5,886
15.5×
5302
Level 2 Upper GI Procedures
17
$23,362
$2,038
11.5×
5112
Level 2 Musculoskeletal Procedures
16
$29,311
$1,636
17.9×
5182
Level 2 Vascular Procedures
15
$14,971
$1,715
8.7×
5114
Level 4 Musculoskeletal Procedures
15
$108,165
$7,255
14.9×
5376
Level 6 Urology and Related Services
14
$98,190
$9,859
10.0×
5222
Level 2 Pacemaker and Similar Procedures
14
$67,728
$9,094
7.4×
5155
Level 5 Airway Endoscopy
14
$61,762
$7,330
8.4×
5372
Level 2 Urology and Related Services
13
$52,123
$687
75.9×
5414
Level 4 Gynecologic Procedures
11
$55,757
$3,348
16.7×
5415
Level 5 Gynecologic Procedures
—
—
—
—
5416
Level 6 Gynecologic Procedures
—
—
—
—
5431
Level 1 Nerve Procedures
—
—
—
—
5224
Level 4 Pacemaker and Similar Procedures
—
—
—
—
5464
Level 4 Neurostimulator and Related Procedures
—
—
—
—
5491
Level 1 Intraocular Procedures
—
—
—
—
5093
Level 3 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5493
Level 3 Intraocular Procedures
—
—
—
—
5503
Level 3 Extraocular, Repair, and Plastic Eye Procedures
—
—
—
—
5378
Level 8 Urology and Related Services
—
—
—
—
5094
Level 4 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5113
Level 3 Musculoskeletal Procedures
—
—
—
—
5231
Level 1 ICD and Similar Procedures
—
—
—
—
5212
Level 2 Electrophysiologic Procedures
—
—
—
—
5200
Implantation Wireless PA Pressure Monitor
—
—
—
—
5313
Level 3 Lower GI Procedures
—
—
—
—
5331
Complex GI Procedures
—
—
—
—
5194
Level 4 Endovascular Procedures
—
—
—
—
5342
Level 2 Abdominal/Peritoneal/Biliary and Related Procedures
—
—
—
—
5153
Level 3 Airway Endoscopy
—
—
—
—
5116
Level 6 Musculoskeletal Procedures
—
—
—
—
5115
Level 5 Musculoskeletal Procedures
—
—
—
—
5461
Level 1 Neurostimulator and Related Procedures
—
—
—
—
03 · Its own price file

What the hospital's price-transparency file says

Found via /cms-hpt.txt, the file itself ↗ read as csv-wide, last updated 1/1/2026, template 3.0.0, 204,285 rows scanned, 9,247 distinct code–setting items kept. 1,977 findings against it.

Service
Code
Listed
Cash
Negotiated
Rates
Checks
BC DNA HEA 35 AG 11 BLD GRP
$2,657
$1,063
$720
15
clean
CT PERFUSION W/CON CBF/VOLUME
$5,990
$2,396
$1,267
11
clean
CAROTID STENT PLCMT INTL-IP
$18,742
$7,497
$4,244
32
clean
SACROPLASTY PERQ BILAT INJ
$29,738
$11,895
$5,115
15
clean
INFECT DISEAS 22 TRGT SARSCOV2
$3,149
$1,260
$488
15
clean
ATHERECTOMY TRANSLUM ILIAC
$58,684
$23,474
$8,671
80
clean
NFCT DS VIR RESP RNA 4 TRGT
$386
$154
$122
15
clean
TRANSCATH RMV INTRACARD MASS
$24,884
$9,954
$5,829
15
clean
FNA W/O GUIDANCE ADDL LES
$1,818
$727
$499
51
clean
FNA W/IMAGING GUIDANCE
$7,943
$3,177
$2,028
60
clean
BX LUNG/MED NDL FNA EA ADDL
$3,004
$1,202
$949
34
clean
FNA W/FLUORO GUIDANCE
$3,683
$1,473
$1,980
60
clean
FNA W/IMAGING GUIDANCE
$14,910
$5,964
$2,472
60
clean
BX LUNG/MED NDL FNA EA ADDL
$5,363
$2,145
$1,639
34
clean
Fine needle aspiration biopsy of growth using MRI guidance, first growth
—
—
$2,516
14
clean
Fine needle aspiration biopsy of growth using MRI guidance, each additional growth
—
—
$1,376
10
clean
FNA W/O IMAGING GUIDANCE
$3,639
$1,456
$1,150
105
clean
CT DRAIN ABSC HEMAT/CYST
$18,896
$7,558
$2,603
40
clean
PLACE SOFT TIS DEV 1ST LESION
$2,297
$919
$1,830
20
clean
Acne surgery
—
—
$2,516
13
clean
I&D ABSCESS SIMPLE
$2,295
$918
$1,538
84
clean
I&D ABSCESS CMPLX
$3,170
$1,268
$1,898
42
clean
I&D PILONIDAL ABSC 450
$2,437
$975
$1,639
21
clean
I&D PILONIDAL ABSCESS COMPLX
$5,957
$2,383
$1,946
42
clean
INCISION/REMOV FB SUBQ SIMPLE
$1,261
$504
$1,255
42
clean
INCISION/REMOV FB SUBQ CMPLX
$7,138
$2,855
$2,077
42
clean
I AND D HEMATOMA
$9,018
$3,607
$2,516
84
clean
PUNCT/ASP ABCESS HEMAT CYST
$3,185
$1,274
$1,639
147
clean
I&D POSTOP INFECTION CMPLX
$16,631
$6,652
$2,228
42
clean
DEBR INFCTD SKIN UP TO 10%
$466
$186
$584
63
clean
DEBR INFCTD SKIN EA ADDL 10%
$484
$194
$336
36
clean
Removal of infected skin, tissue or muscle of genitals
—
—
$2,516
13
clean
Removal of infected skin, tissue or muscle of abdomen
—
—
$2,516
13
clean
Removal of infected skin, tissue or muscle of genitals, perineum, or abdomen
—
—
$2,516
13
clean
Removal of infected artificial material or mesh from abdomen
—
—
$2,516
13
clean
DEBR INC FB RM W/OPN FX/DISLOC
$5,899
$2,360
$2,075
21
clean
DEBRIDE SUBQ TISSUE<=20CM
$3,845
$1,538
$1,898
63
clean
DEBRIDE MUSCLE/FASCIA<=20CM
$8,488
$3,395
$2,173
21
clean
DEBRIDE BONE<=20CM
$15,029
$6,012
$2,447
21
clean
DEBRIDE SUBQ TIS EA ADDL 20CM
$3,450
$1,380
$1,639
28
clean
DEBRIDE MUSC/FASC EA ADDL 20CM
$7,639
$3,056
$2,197
14
clean
DEBRIDE BONE EA ADDL 20CM
$13,526
$5,410
$2,516
14
clean
PARING BENIGN LES SNGL
$766
$306
$536
42
clean
PARING BENIGN LES 2-4
$815
$326
$571
21
clean
PARING BENIGN LES >4
$950
$380
$665
21
clean
TANGENTIAL BX 1 LESION
$1,994
$798
$1,336
20
clean
TANGENTIAL BX ADDL/SEP LESION
$616
$246
$357
17
clean
PUNCH BX 1 LESION
$1,662
$665
$1,114
20
clean
PUNCH BX ADDL/SEP LESION
$616
$246
$357
17
clean
INCISIONAL BX 1 LESION
$2,110
$844
$1,547
20
clean
INCISIONAL BX ADDL/SEP LESION
$652
$261
$378
17
clean
REMOVE SKIN TAG UP TO 15
$543
$217
$628
42
clean
REMOVE SKIN TAG EACH ADDL 10
$524
$210
$235
18
clean
Shaving of skin growth of body, arms, or legs, 0.5 cm or less
—
—
$2,516
13
clean
Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm
—
—
$2,516
13
clean
Shaving of skin growth of body, arms, or legs, more than 2.0 cm
—
—
$2,516
13
clean
Shaving of skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm
—
—
$2,516
13
clean
Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.5 cm or less
—
—
$2,516
13
clean
Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm
—
—
$2,516
13
clean
Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm
—
—
$2,516
13
clean
Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, more than 2.0 cm
—
—
$2,516
13
clean
EXC BEN LES TRK/EXT <=0.5CM
$2,001
$800
$1,391
42
clean
EXC BEN LES TRK/EXT 0.6-1.0CM
$2,430
$972
$1,639
42
clean
EXC BEN LES TRK/EXT 1.1-2CM
$5,749
$2,300
$1,980
21
clean
EXC BEN LES TRK/EXT 2.1-3CM
$2,666
$1,066
$1,840
21
clean
EXC BEN LES TRK/EXT 3.1-4CM
$2,814
$1,126
$1,639
21
clean
EXC BEN LES TRK/EXT >4.0CM
$3,166
$1,266
$1,980
21
clean
EXC BEN LES SC/HND/FT<=0.5CM
$3,368
$1,347
$2,075
21
clean
EXC BEN LES SC/HND/FT 0.6-1CM
$6,735
$2,694
$2,128
21
clean
EXC BEN LES SC/HD/FT 1.1-2CM
$7,138
$2,855
$1,872
42
clean
EXC BEN LES SC/HD/FT 2.1-3CM
$2,430
$972
$1,677
21
clean
EXC BEN LES SC/HD/FT 3.1-4CM
$2,814
$1,126
$1,942
21
clean
EXC BEN LES SC/HND/FT >4.0CM
$3,166
$1,266
$1,980
21
clean
EXC BEN LES FACE <=0.5CM 450
$2,917
$1,167
$2,042
21
clean
EXC BEN LES FACE 3.1-4.0CM 450
$2,957
$1,183
$1,639
21
clean
Removal of skin and tissue of underarms for inflamed sweat glands with complex repair
—
—
$2,299
15
clean
Removal of skin and tissue of groin for inflamed sweat glands with complicated repair
—
—
$2,299
15
clean
Removal of skin and tissue of anus or navel for inflamed sweat glands with simple or intermediate repair
—
—
$2,299
15
clean
Removal of skin and tissue of anus or navel for inflamed sweat glands with complicated repair
—
—
$2,299
15
clean
Removal of cancer skin growth of body, arms, or legs, 0.5 cm or less
—
—
$2,516
14
clean
Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 3.1-4.0 cm
—
—
$2,299
15
clean
Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, more than 4.0 cm
—
—
$2,299
15
clean
Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 3.1-4.0 cm
—
—
$2,299
15
clean
Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, more than 4.0 cm
—
—
$2,299
15
clean
TRIM NONDYSTROPH NAILS
$938
$375
$610
21
clean
DEBR NAIL 1-5
$967
$387
$672
42
clean
DEBR NAIL 6 OR MORE
$1,233
$493
$853
21
clean
REMOVE NAIL PLT SNGL
$1,593
$637
$1,099
42
clean
REMOVE NAIL PLT EA ADDL
$1,619
$648
$456
36
clean
EVAC SUBUNGUAL HEMAT
$321
$128
$411
42
clean
EXC NAIL AND MATRIX PERM
$4,949
$1,980
$1,898
42
clean
REPAIR NAIL SIMPLE 450
$2,381
$952
$1,639
21
clean
Repair of fingernail or toenail bed with graft
—
—
$2,516
13
clean
WDGE EXC OF SKN OF NAIL FLD450
$1,606
$642
$1,108
21
clean
EXC PILNDAL CYST SINUS SIMP
$8,954
$3,582
$2,472
21
clean
EXC PILNDAL CYST SINUS EXTENS
$10,236
$4,094
$2,447
21
clean
EXC PILNDAL CYST SINUS CMPLX
$10,566
$4,226
$2,447
21
clean
Injection into skin growth, more than 7 growths
—
—
$2,516
13
clean
Tattooing of skin to correct color issue, 6.0 sq cm or less
—
—
$3,391
9
clean
Tattooing of skin to correct color issue, 6.1-20.0 sq cm
—
—
$3,391
8
clean
Tattooing of skin to correct color issue, each additional 20.0 sq cm
—
—
$2,516
5
clean
Injection of filling material under skin, 1.1-5.0 cc
—
—
$2,516
12
clean
INSERT TIS EXPNDER NOT BREAST
$12,810
$5,124
$2,085
21
clean
Replacement of tissue expander with permanent implant
—
—
$2,516
17
clean
Placement of hormone pellet under skin
—
—
$2,516
12
clean
INSERT DRUG DELIVERY IMPLANT
$391
$156
$274
21
clean
LAC REP SIM TRK/EXT < 2.6CM
$1,472
$589
$1,200
42
clean
LAC REP SIM TRK/EXT 2.6-7.5CM
$1,546
$618
$1,036
42
clean
LAC REP SIM TRUNK 7.6-12.5 450
$2,622
$1,049
$1,704
21
clean
LAC REP SIM TRUNK 12.6-20 450
$3,759
$1,504
$1,980
21
clean
LAC REP SIM TRUNK 20.1-30 450
$5,266
$2,106
$1,980
21
clean
LAC REP SIM TRUNK > 30 450
$5,974
$2,390
$1,980
21
clean
LAC REP SIM FACE EAR <2.6 450
$2,159
$864
$1,403
21
clean
LAC REP SIM FACE EAR 2.6-5 450
$2,844
$1,138
$1,849
21
clean
LAC REP SIM FACE EAR5.1-7.5450
$3,060
$1,224
$1,898
21
clean
LAC REP SIM FACE ER7.6-12.5450
$3,683
$1,473
$1,898
21
clean
LAC REP SIM FACE EAR12.6-20450
$5,939
$2,376
$1,980
21
clean
LAC REP SIM FACE EAR20.1-30450
$6,567
$2,627
$1,980
21
clean
LAC REP SIM FACE EAR >30 450
$8,168
$3,267
$1,980
21
clean
SIMP CLOSE WOUND DEHISCENCE
$1,387
$555
$1,639
42
clean
WOUND DEHISCENCE W PACKING 450
$1,477
$591
$1,639
21
clean
CLSR SCLP AXIL TRNK EXT<2.5
$1,422
$569
$1,317
42
clean
CLSR SCLP AXIL TRNK EXT2.6-7.5
$1,902
$761
$1,647
42
clean
CLSR SCLP AXIL TRNK EX7.6-12.5
$2,079
$832
$1,898
42
clean
LAC REP INT SCALP TK12.6-20450
$4,696
$1,878
$1,980
21
clean
LAC REP INT SCALP TK20.1-30450
$4,814
$1,926
$1,980
21
clean
LAC REP INT FEET HAND<2.6 450
$3,191
$1,276
$1,898
21
clean
LAC REP INT FEET HAN2.6-7.5450
$3,481
$1,392
$1,898
21
clean
LAC REP INT FEET HAN7.6-12.450
$4,068
$1,627
$1,980
21
clean
LAC REP INT FEET HAN12.6-20450
$5,838
$2,335
$1,980
21
clean
LAC REP INT FACE EAR <2.6 450
$2,660
$1,064
$1,729
21
clean
LAC REP INT FACE EAR2.6-5 450
$3,548
$1,419
$1,898
21
clean
LAC REP INT FACE EAR5.1-7.5450
$4,228
$1,691
$1,898
21
clean
LAC REP INT FACE EA7.6-12.5450
$4,993
$1,997
$1,980
21
clean
LAC REP INT FACE EAR12.6-20450
$5,816
$2,326
$1,980
21
clean
LAC REP COMP TRUNK 1.1-2.5 450
$2,983
$1,193
$1,980
21
clean
LAC REP COMP TRUNK 2.6-7.5 450
$2,217
$887
$1,898
21
clean
LAC REP TRNK EA AD 5CM OR< 450
$653
$261
$415
18
clean
LAC REP COM S/TRK/EXT1.1-2.5CM
$1,032
$413
$1,852
42
clean
LAC REP COM S/TRK/EXT2.6-7.5CM
$932
$373
$2,214
42
clean
LAC REP COM SCALP TK + 5CM 450
$1,601
$640
$1,017
18
clean
LAC REP COM FT HAND 1.1-2.5450
$4,529
$1,812
$1,980
21
clean
LAC REP COM FT HAND 2.6-7.5
$2,372
$949
$1,898
42
clean
LAC REP COM FT HAND EA ADDL5CM
$922
$369
$585
18
clean
LAC REP COM FACE EAR1.1-2.5450
$6,212
$2,485
$2,447
21
clean
LAC REP COM FACE EAR2.6-7.5450
$8,359
$3,344
$2,447
21
clean
LAC REP COM FACE EAR E+5CM 450
$1,946
$778
$1,236
18
clean
SECONDARY WOUND CLOSURE
$12,810
$5,124
$2,085
21
clean
Repair of wound of trunk by transferring skin, 10.1-30.0 sq cm
—
—
$2,516
17
clean
Repair of wound of scalp, arms, or legs by transferring skin, 10.1-30.0 sq cm
—
—
$2,516
17
clean
Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.1-30.0 sq cm
—
—
$2,516
17
clean
Repair of wound by transferring skin, 30.1-60.0 sq cm
—
—
$3,636
16
clean
Repair of wound by transferring skin, each additional 30.0 sq cm
—
—
$2,825
6
clean
Repair of tissue loss of finger or toe
—
—
$2,516
17
clean
SURG PREP TRNK/ARM/LG 100SQCM
$5,457
$2,183
$2,228
21
clean
SURG PREP TRNK/ARM/LG ADD100CM
$5,617
$2,247
$1,939
14
clean
SURG PREP HD/H/FT/GEN 100SQCM
$5,006
$2,002
$2,173
21
clean
SURG PREP HD/H/FT/GEN ADD100CM
$5,617
$2,247
$1,939
14
clean
PINCH GRAFT SINGLE OR MULT
$2,751
$1,100
$1,898
21
clean
Partial thickness self skin graft of trunk, arms, or legs, each additional 100.0 sq cm or 1% body area for infants and children, or less
—
—
$1,080
11
clean
Partial thickness self skin graft to face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 100.0 sq cm or 1% body area for infants and children, or less
—
—
$2,228
17
clean
Partial thickness self skin graft of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, each additional 100.0 sq cm or 1% body area for infants and children, or less
—
—
$1,080
11
clean
Deep layer self skin graft of trunk, arms, or legs, 100.0 sq cm or 1% body area of infants and children, or less
—
—
$2,228
17
clean
Deep layer self skin graft of trunk, arms, or legs, each additional 100.0 sq cm or 1% body area of infants and children, or less
—
—
$1,709
7
clean
Deep layer self skin graft of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 100.0 sq cm or 1% body area of infants and children, or less
—
—
$2,228
17
clean
Tissue self skin graft of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 25.0 sq cm or less
—
—
$2,228
17
clean
Full thickness skin graft to trunk, 20.0 sq cm or less
—
—
$2,516
17
clean
Full thickness skin graft to trunk, each additional 20.0 sq cm
—
—
$1,421
10
clean
Full thickness skin graft to scalp, arms, or legs, 20.0 sq cm or less
—
—
$2,228
17
clean
Full thickness skin graft to scalp, arms, or legs, each additional 20.0 sq cm
—
—
$1,421
10
clean
Full thickness skin graft to forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, each additional 20.0 sq cm
—
—
$1,489
10
clean
Full thickness skin graft to nose, ears, eyelids, or lips, 20.0 sq cm or less
—
—
$2,228
17
clean
Full thickness skin graft to nose, ears, eyelids, or lips, each additional 20.0 sq cm
—
—
$1,421
10
clean
SKIN SUB GRAFT T/ARMLEG 25CM
$9,582
$3,833
$2,516
21
clean
SKIN SUB GRAFT T/ARMLEG ADD25
$1,508
$603
$958
18
clean
SKIN SUB GRFT T/ARMLEG1ST100CM
$5,570
$2,228
$2,516
21
clean
SKIN SUB GRFT T/ARMLEG ADD100
$4,523
$1,809
$1,769
18
clean
SKN SUB GRFT F/N/HF/G 25CM
$7,702
$3,081
$2,173
21
clean
SKN SUB GRFT F/N/HF/G ADD25CM
$1,810
$724
$1,149
18
clean
SKN SUB GRFT F/N/HF/G 1ST100CM
$4,642
$1,857
$2,516
21
clean
SKN SUB GRFT F/N/HF/G ADD100CM
$4,523
$1,809
$1,769
18
clean
Creation of flap graft to trunk
—
—
$2,516
17
clean
Creation of flap graft to scalp, arms, or legs
—
—
$2,516
17
clean
Creation of flap graft to forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet
—
—
$2,516
17
clean
Creation of flap graft to eyelids, nose, ears, lips, or mouth
—
—
$2,516
17
clean
Transfer of skin flap to trunk
—
—
$2,516
17
clean
Transfer of skin flap to scalp, arms, or legs
—
—
$2,516
17
clean
Transfer of skin flap to forehead, cheeks, chin, neck, underarms, genitals, hands, or feet
—
—
$2,516
17
clean
Transfer of skin flap to eyelids, nose, ears, or lips
—
—
$2,516
17
clean
Transfer of skin flap
—
—
$2,516
17
clean
Creation of flap graft to midface
—
—
$3,636
16
clean
Creation of flap graft to nose, forehead, temple, or scalp
—
—
$2,516
17
clean
Creation of muscle graft to trunk
—
—
$2,516
17
clean
Creation of muscle graft to arm
—
—
$2,516
17
clean
Creation of muscle graft to leg
—
—
$2,516
17
clean
Creation of skin and tissue graft
—
—
$2,228
17
clean
Creation of nerve and blood vessel skin graft
—
—
$2,228
17
clean
Muscle graft with repair of small blood vessel
—
—
$2,539
13
clean
Skin graft with repair of small blood vessel
—
—
$2,539
13
clean
Tissue graft with repair of small blood vessel
—
—
$2,539
13
clean

Showing the first 200 of 9,247 code–setting items in the file, verified codes first — every row as JSON →

Findings

Service
Severity
Rule
Detail
CPT 89220/b
error
mrf_negotiated_below_min
a negotiated rate of $9 is below the file's own minimum $22
CPT 92551/b
error
mrf_negotiated_below_min
a negotiated rate of $11 is below the file's own minimum $65
CPT 92567/b
error
mrf_negotiated_below_min
a negotiated rate of $10 is below the file's own minimum $42
CPT 94645/b
error
mrf_negotiated_below_min
a negotiated rate of $13 is below the file's own minimum $246
CPT 94664/b
error
mrf_negotiated_below_min
a negotiated rate of $15 is below the file's own minimum $113
CPT 94669/b
error
mrf_negotiated_below_min
a negotiated rate of $20 is below the file's own minimum $32
CPT 97018/b
error
mrf_negotiated_below_min
a negotiated rate of $6 is below the file's own minimum $28
CPT 97022/b
error
mrf_negotiated_below_min
a negotiated rate of $17 is below the file's own minimum $21
CPT 82810/b
error
mrf_negotiated_below_min
a negotiated rate of $5 is below the file's own minimum $224
warn
mrf_negotiated_above_gross_systematic
552 of 1,927 comparable items (29%) 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 $49,896 exceeds the gross charge $29,738
CPT 44500/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 73650/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 83986/b
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 87498/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J9217/b
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 73660/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 84075/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 87502/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J9260/b
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 73700/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 84100/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 87517/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J9263/b
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 73701/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 84110/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 87521/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J9267/b
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 45999/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 73702/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 84120/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 87522/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT C8923/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J9280/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 73706/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 84132/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 87529/b
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT C9046/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J9293/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 73718/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 84133/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 87535/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT C9352/b
info
mrf_item_fields_vary
this code and setting cover at least 9 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J9312/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 73719/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 84134/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 87536/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT C9353/b
info
mrf_item_fields_vary
this code and setting cover at least 8 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J9355/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 73720/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 84144/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 87556/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT C9354/b
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J9370/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 73721/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 84146/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 87591/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT C9355/b
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J9390/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 73722/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 84153/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 87635/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT C9356/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT L0120/b
info
mrf_item_fields_vary
this code and setting cover at least 24 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 73723/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 84154/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 87641/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT C9358/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT L0150/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 74021/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 84155/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 87798/b
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT C9359/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT L0172/b
info
mrf_item_fields_vary
this code and setting cover at least 11 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 12031/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 47000/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 74022/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 84156/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 87799/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT C9360/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT L0174/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 12032/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 74150/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 84157/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 87899/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT C9361/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT L0200/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 12034/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 47490/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 74160/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 84165/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 87901/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT C9362/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT L0625/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 47531/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 74170/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 84166/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 87902/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT C9363/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT L0626/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 74181/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 84181/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 88108/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT C9364/b
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 74182/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 84182/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 88184/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT C9460/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT L0628/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 74183/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 84206/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 88185/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT C9488/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT L0637/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 74220/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 84207/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 88237/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT C9600/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT L0639/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 74221/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 84220/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 88262/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT C9603/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT L0640/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 74230/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 84238/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 88271/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT C9604/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT L0650/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 74240/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 84244/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 88275/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT C9606/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT L1686/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 74246/b
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 84270/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 88305/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT E0749/b
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT L1820/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 29125/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 74248/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 84295/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 88312/b
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT G0008/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT L1830/b
info
mrf_item_fields_vary
this code and setting cover at least 32 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 74250/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 84300/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 88313/b
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT G0009/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT L1832/b
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 74270/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 84302/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 88319/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT G0109/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT L1845/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 74280/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 84305/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 88342/b
info
mrf_item_fields_vary
this code and setting cover at least 12 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT L1850/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 74340/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 84311/b
info
mrf_item_fields_vary
this code and setting cover at least 6 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 88361/b
info
mrf_item_fields_vary
this code and setting cover at least 5 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT G0257/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT L1902/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 13120/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 48102/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 74400/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 84402/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 89060/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT G0378/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT L1930/b
info
mrf_item_fields_vary
this code and setting cover at least 11 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 13121/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 49082/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 74410/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 84403/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT G0379/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT L2210/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 49083/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 74415/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 84425/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 90371/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT G0463/b
info
mrf_item_fields_vary
this code and setting cover at least 34 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT L2830/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 74420/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 84432/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 90375/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J0122/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT L2850/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 13132/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 49180/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 74425/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 84436/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 90376/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J0133/b
info
mrf_item_fields_vary
this code and setting cover at least 8 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT L2999/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 49185/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash differ, so no cross-line comparison was made for this item
CPT 74430/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 84439/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 90378/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J0153/b
info
mrf_item_fields_vary
this code and setting cover at least 8 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 74450/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item

Showing the first 200 of 1,977 findings, errors first — every finding as JSON →

04 · Checks

Where the Medicare rows do not agree with themselves

Service
Severity
Rule
Detail
MS-DRG 057
info
inp_charge_10x_payment
average charge $120,365 is 10.3× the total payment
MS-DRG 064
info
inp_charge_10x_payment
average charge $270,887 is 15.9× the total payment
MS-DRG 065
info
inp_charge_10x_payment
average charge $150,976 is 16.4× the total payment
MS-DRG 069
info
inp_charge_10x_payment
average charge $122,117 is 15.9× the total payment
MS-DRG 074
info
inp_charge_10x_payment
average charge $169,956 is 18.2× the total payment
MS-DRG 149
info
inp_charge_10x_payment
average charge $113,326 is 15.9× the total payment
MS-DRG 175
info
inp_charge_10x_payment
average charge $202,522 is 16.4× the total payment
MS-DRG 177
info
inp_charge_10x_payment
average charge $227,442 is 15.5× the total payment
MS-DRG 189
info
inp_charge_10x_payment
average charge $171,769 is 15.2× the total payment
MS-DRG 193
info
inp_charge_10x_payment
average charge $178,475 is 14.7× the total payment
MS-DRG 194
info
inp_charge_10x_payment
average charge $117,002 is 14.8× the total payment
MS-DRG 196
info
inp_charge_10x_payment
average charge $177,234 is 12.2× the total payment
MS-DRG 202
info
inp_charge_10x_payment
average charge $139,424 is 17.5× the total payment
MS-DRG 208
info
inp_charge_10x_payment
average charge $430,961 is 19.8× the total payment
MS-DRG 243
info
inp_charge_10x_payment
average charge $372,470 is 18.7× the total payment
MS-DRG 270
info
inp_charge_10x_payment
average charge $468,898 is 10.9× the total payment
MS-DRG 280
info
inp_charge_10x_payment
average charge $266,625 is 18.4× the total payment
MS-DRG 281
info
inp_charge_10x_payment
average charge $215,412 is 25.8× the total payment
MS-DRG 286
info
inp_charge_10x_payment
average charge $362,712 is 17.4× the total payment
MS-DRG 287
info
inp_charge_10x_payment
average charge $245,443 is 25.1× the total payment
MS-DRG 291
info
inp_charge_10x_payment
average charge $176,697 is 16.3× the total payment
MS-DRG 305
info
inp_charge_10x_payment
average charge $104,254 is 14.7× the total payment
MS-DRG 308
info
inp_charge_10x_payment
average charge $143,696 is 13.7× the total payment
MS-DRG 309
info
inp_charge_10x_payment
average charge $105,040 is 15.3× the total payment
MS-DRG 310
info
inp_charge_10x_payment
average charge $87,596 is 15.5× the total payment
MS-DRG 312
info
inp_charge_10x_payment
average charge $108,756 is 14.0× the total payment
MS-DRG 313
info
inp_charge_10x_payment
average charge $109,852 is 16.0× the total payment
MS-DRG 314
info
inp_charge_10x_payment
average charge $224,796 is 11.5× the total payment
MS-DRG 321
info
inp_charge_10x_payment
average charge $440,426 is 17.6× the total payment
MS-DRG 322
info
inp_charge_10x_payment
average charge $339,520 is 21.2× the total payment
MS-DRG 329
info
inp_charge_10x_payment
average charge $700,970 is 19.7× the total payment
MS-DRG 330
info
inp_charge_10x_payment
average charge $247,133 is 12.0× the total payment
MS-DRG 371
info
inp_charge_10x_payment
average charge $213,635 is 14.5× the total payment
MS-DRG 372
info
inp_charge_10x_payment
average charge $148,901 is 14.3× the total payment
MS-DRG 377
info
inp_charge_10x_payment
average charge $215,666 is 14.5× the total payment
MS-DRG 378
info
inp_charge_10x_payment
average charge $146,022 is 16.0× the total payment
MS-DRG 386
info
inp_charge_10x_payment
average charge $118,881 is 13.5× the total payment
MS-DRG 388
info
inp_charge_10x_payment
average charge $177,930 is 15.6× the total payment
MS-DRG 389
info
inp_charge_10x_payment
average charge $89,914 is 12.9× the total payment
MS-DRG 391
info
inp_charge_10x_payment
average charge $166,782 is 15.3× the total payment
MS-DRG 392
info
inp_charge_10x_payment
average charge $129,658 is 16.8× the total payment
MS-DRG 393
info
inp_charge_10x_payment
average charge $204,305 is 14.2× the total payment
MS-DRG 418
info
inp_charge_10x_payment
average charge $283,356 is 17.7× the total payment
MS-DRG 439
info
inp_charge_10x_payment
average charge $141,412 is 16.5× the total payment
MS-DRG 480
info
inp_charge_10x_payment
average charge $333,005 is 13.8× the total payment
MS-DRG 481
info
inp_charge_10x_payment
average charge $204,596 is 12.2× the total payment
MS-DRG 522
info
inp_charge_10x_payment
average charge $280,180 is 15.1× the total payment
MS-DRG 536
info
inp_charge_10x_payment
average charge $95,249 is 14.1× the total payment
MS-DRG 552
info
inp_charge_10x_payment
average charge $118,913 is 14.6× the total payment
MS-DRG 563
info
inp_charge_10x_payment
average charge $92,832 is 11.3× the total payment
MS-DRG 603
info
inp_charge_10x_payment
average charge $137,161 is 17.4× the total payment
MS-DRG 637
info
inp_charge_10x_payment
average charge $165,462 is 14.3× the total payment
MS-DRG 638
info
inp_charge_10x_payment
average charge $119,053 is 14.4× the total payment
MS-DRG 640
info
inp_charge_10x_payment
average charge $186,173 is 16.4× the total payment
MS-DRG 641
info
inp_charge_10x_payment
average charge $108,555 is 14.4× the total payment
MS-DRG 643
info
inp_charge_10x_payment
average charge $232,946 is 16.4× the total payment
MS-DRG 660
info
inp_charge_10x_payment
average charge $155,803 is 12.4× the total payment
MS-DRG 682
info
inp_charge_10x_payment
average charge $264,656 is 18.5× the total payment
MS-DRG 683
info
inp_charge_10x_payment
average charge $119,979 is 13.7× the total payment
MS-DRG 689
info
inp_charge_10x_payment
average charge $151,269 is 15.0× the total payment
MS-DRG 690
info
inp_charge_10x_payment
average charge $123,412 is 17.4× the total payment
MS-DRG 694
info
inp_charge_10x_payment
average charge $88,172 is 11.4× the total payment
MS-DRG 698
info
inp_charge_10x_payment
average charge $227,443 is 16.0× the total payment
MS-DRG 699
info
inp_charge_10x_payment
average charge $128,107 is 14.1× the total payment
MS-DRG 707
info
inp_charge_10x_payment
average charge $207,626 is 13.1× the total payment
MS-DRG 717
info
inp_charge_10x_payment
average charge $206,831 is 13.0× the total payment
MS-DRG 811
info
inp_charge_10x_payment
average charge $146,017 is 11.7× the total payment
MS-DRG 812
info
inp_charge_10x_payment
average charge $110,564 is 13.4× the total payment
MS-DRG 813
info
inp_charge_10x_payment
average charge $245,308 is 19.6× the total payment
MS-DRG 853
info
inp_charge_10x_payment
average charge $741,890 is 15.2× the total payment
MS-DRG 871
info
inp_charge_10x_payment
average charge $302,391 is 17.5× the total payment
MS-DRG 872
info
inp_charge_10x_payment
average charge $138,499 is 14.2× the total payment
MS-DRG 884
info
inp_charge_10x_payment
average charge $190,283 is 12.4× the total payment

Sources for this hospital

the files read, as fetched — not our copy of them
  1. MUP_INP_RY26_P03_V10_DY24_PrvSvc.CSV · 38.0M bytes · fetched 2026-08-21 · sha256 2ab6da15be4c… · publisher's page · public domain (US federal)
  2. MUP_OUT_RY26_P04_V10_DY24_Prov_Svc.csv · 28.1M bytes · fetched 2026-08-21 · sha256 f293918edbf6… · publisher's page · public domain (US federal)
  3. chsp-hospital-linkage-2023.csv · 1.5M bytes · fetched 2026-08-21 · sha256 a86146f10c8d… · publisher's page · public; cite AHRQ Compendium of U.S. Health Systems
  4. 2020 ZCTA to County relationship file · US Census Bureau · 2020
    tab20_zcta520_county20_natl.txt · 6.8M bytes · fetched 2026-08-21 · sha256 3ed41278d637… · publisher's page · public domain (US federal)
  5. · csv-wide · 165.2M bytes · fetched 2026-08-25 · sha256 61ad3a52c42f…

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.