Hospital · CCN 290046
Spring Valley Hospital Medical Center
5400 South Rainbow Blvd, Las Vegas, NV 89118 · Clark County
Part of Universal Health Services · 334 beds · 5
Metropolitan area core: primary flow within an urbanized area of 50,000 and greater
72 admission types 40 outpatient services price file: ok 66 Medicare-file findings
Billed per dollar paid, all admissions
13.32×
$485.0M billed against $36.4M paid across 1,998 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
261
$271,051
$19,073
14.2× st 10.1×
291
Heart failure and shock with mcc
83
$147,811
$12,637
11.7× st 8.3×
640
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc
66
$140,205
$12,403
11.3× st 8.5×
193
Simple pneumonia and pleurisy with mcc
64
$188,873
$13,358
14.1× st 8.7×
177
Respiratory infections and inflammations with mcc
61
$230,306
$16,638
13.8× st 8.4×
064
Intracranial hemorrhage or cerebral infarction with mcc
57
$419,156
$27,733
15.1× st 11.0×
280
Acute myocardial infarction, discharged alive with mcc
57
$175,190
$15,845
11.1× st 9.2×
698
Other kidney and urinary tract diagnoses with mcc
54
$254,332
$14,485
17.6× st 10.2×
641
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc
40
$89,074
$7,603
11.7× st 8.6×
682
Renal failure with mcc
40
$259,590
$17,309
15.0× st 9.4×
689
Kidney and urinary tract infections with mcc
39
$141,002
$10,956
12.9× st 9.6×
884
Organic disturbances and intellectual disability
37
$175,993
$15,935
11.0× st 9.7×
853
Infectious and parasitic diseases with o.r. procedures with mcc
37
$562,938
$39,044
14.4× st 9.9×
392
Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc
36
$104,322
$8,051
13.0× st 10.4×
870
Septicemia or severe sepsis with mv >96 hours
36
$797,723
$63,016
12.7× st 11.1×
690
Kidney and urinary tract infections without mcc
34
$114,048
$8,689
13.1× st 9.7×
872
Septicemia or severe sepsis without mv >96 hours without mcc
34
$134,958
$11,153
12.1× st 10.0×
683
Renal failure with cc
33
$95,387
$8,777
10.9× st 8.8×
065
Intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours
33
$153,261
$10,097
15.2× st 9.7×
377
Gastrointestinal hemorrhage with mcc
30
$242,188
$17,097
14.2× st 9.7×
552
Medical back problems without mcc
29
$99,331
$9,013
11.0× st 9.4×
470
Major hip and knee joint replacement or reattachment of lower extremity without mcc
29
$240,018
$18,276
13.1× st 10.0×
312
Syncope and collapse
26
$98,550
$8,638
11.4× st 9.7×
267
Endovascular cardiac valve replacement and supplement procedures without mcc
25
$547,874
$39,776
13.8× st 8.5×
309
Cardiac arrhythmia and conduction disorders with cc
24
$96,190
$7,494
12.8× st 8.7×
308
Cardiac arrhythmia and conduction disorders with mcc
24
$225,618
$11,339
19.9× st 9.0×
699
Other kidney and urinary tract diagnoses with cc
24
$90,450
$8,605
10.5× st 8.9×
393
Other digestive system diagnoses with mcc
22
$184,455
$15,879
11.6× st 10.2×
643
Endocrine disorders with mcc
22
$227,135
$14,961
15.2× st 14.2×
190
Chronic obstructive pulmonary disease with mcc
22
$98,638
$10,136
9.7× st 7.8×
638
Diabetes with cc
21
$126,875
$9,822
12.9× st 9.7×
208
Respiratory system diagnosis with ventilator support <=96 hours
20
$353,486
$25,302
14.0× st 11.0×
069
Transient ischemia without thrombolytic
20
$128,963
$7,605
17.0× st 13.9×
313
Chest pain
20
$93,163
$7,293
12.8× st 13.1×
391
Esophagitis, gastroenteritis and miscellaneous digestive disorders with mcc
20
$201,343
$12,726
15.8× st 8.5×
378
Gastrointestinal hemorrhage with cc
19
$141,217
$9,594
14.7× st 9.8×
305
Hypertension without mcc
19
$100,585
$8,369
12.0× st 11.8×
314
Other circulatory system diagnoses with mcc
18
$235,539
$18,302
12.9× st 9.1×
637
Diabetes with mcc
18
$161,989
$13,339
12.1× st 9.9×
917
Poisoning and toxic effects of drugs with mcc
18
$157,039
$14,318
11.0× st 8.6×
394
Other digestive system diagnoses with cc
18
$146,890
$8,861
16.6× st 9.8×
235
Coronary bypass without cardiac catheterization with mcc
17
$623,090
$54,178
11.5× st 9.7×
189
Pulmonary edema and respiratory failure
17
$153,959
$11,293
13.6× st 7.5×
233
Coronary bypass with cardiac catheterization or open ablation with mcc
16
$825,795
$78,608
10.5× st 10.7×
321
Percutaneous cardiovascular procedures with intraluminal device with mcc or 4+ arteries/
16
$492,684
$25,138
19.6× st 11.0×
329
Major small and large bowel procedures with mcc
16
$574,454
$42,987
13.4× st 9.3×
813
Coagulation disorders
15
$130,284
$14,879
8.8× st 11.3×
371
Major gastrointestinal disorders and peritoneal infections with mcc
15
$188,121
$16,184
11.6× st 11.2×
602
Cellulitis with mcc
15
$174,337
$14,163
12.3× st 8.1×
603
Cellulitis without mcc
15
$112,405
$8,799
12.8× st 8.9×
286
Circulatory disorders except ami, with cardiac catheterization with mcc
14
$234,990
$21,374
11.0× st 10.4×
673
Other kidney and urinary tract procedures with mcc
14
$726,709
$34,613
21.0× st 9.7×
563
Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without mcc
14
$84,858
$7,899
10.7× st 10.2×
330
Major small and large bowel procedures with cc
14
$298,518
$21,740
13.7× st 8.4×
481
Hip and femur procedures except major joint with cc
14
$184,242
$18,997
9.7× st 7.5×
460
Spinal fusion except cervical without mcc
13
$425,174
$38,129
11.2× st 5.7×
300
Peripheral vascular disorders with cc
13
$133,304
$11,548
11.5× st 9.9×
551
Medical back problems with mcc
13
$204,596
$13,999
14.6× st 9.6×
057
Degenerative nervous system disorders without mcc
12
$188,771
$12,081
15.6× st 8.3×
194
Simple pneumonia and pleurisy with cc
12
$95,158
$7,312
13.0× st 9.1×
074
Cranial and peripheral nerve disorders without mcc
12
$207,033
$10,321
20.1× st 13.7×
483
Major joint or limb reattachment procedures of upper extremities
11
$227,274
$21,389
10.6× st 9.0×
299
Peripheral vascular disorders with mcc
11
$164,271
$14,615
11.2× st 8.6×
372
Major gastrointestinal disorders and peritoneal infections with cc
11
$124,943
$10,251
12.2× st 10.3×
100
Seizures with mcc
11
$185,534
$18,972
9.8× st 9.3×
322
Percutaneous cardiovascular procedures with intraluminal device without mcc
11
$277,377
$17,236
16.1× st 11.6×
454
Combined anterior and posterior spinal fusion with cc
11
$374,654
$59,283
6.3× st 7.1×
812
Red blood cell disorders without mcc
11
$77,650
$9,071
8.6× st 8.6×
025
Craniotomy and endovascular intracranial procedures with mcc
11
$757,949
$43,334
17.5× st 10.2×
207
Respiratory system diagnosis with ventilator support >96 hours
11
$845,689
$53,148
15.9× st 8.7×
266
Endovascular cardiac valve replacement and supplement procedures with mcc
11
$638,625
$55,545
11.5× st 7.2×
919
Complications of treatment with mcc
11
$269,801
$17,700
15.2× st 7.5×
02 · Outpatient
Outpatient services
Comprehensive APCs, Medicare's outpatient payment groups: submitted charge against what Medicare allowed, per service.
APC
Service
Services
Charge
Allowed
Billed ÷ allowed
8011
Comprehensive Observation Services
346
$42,306
$2,871
14.7×
5115
Level 5 Musculoskeletal Procedures
208
$186,778
$13,614
13.7×
5114
Level 4 Musculoskeletal Procedures
78
$103,328
$7,445
13.9×
5191
Level 1 Endovascular Procedures
74
$75,459
$3,362
22.4×
5116
Level 6 Musculoskeletal Procedures
59
$191,006
$19,910
9.6×
5183
Level 3 Vascular Procedures
50
$60,891
$3,414
17.8×
5375
Level 5 Urology and Related Services
49
$87,994
$5,542
15.9×
5374
Level 4 Urology and Related Services
46
$76,331
$3,669
20.8×
5361
Level 1 Laparoscopy and Related Services
44
$111,809
$6,083
18.4×
5113
Level 3 Musculoskeletal Procedures
42
$65,906
$3,349
19.7×
5184
Level 4 Vascular Procedures
37
$90,674
$5,885
15.4×
5194
Level 4 Endovascular Procedures
36
$235,857
$18,736
12.6×
5193
Level 3 Endovascular Procedures
35
$157,789
$11,479
13.7×
5072
Level 2 Excision/ Biopsy/ Incision and Drainage
31
$24,895
$1,692
14.7×
5192
Level 2 Endovascular Procedures
27
$118,313
$5,946
19.9×
5373
Level 3 Urology and Related Services
16
$45,219
$2,182
20.7×
5112
Level 2 Musculoskeletal Procedures
14
$32,089
$1,539
20.8×
5073
Level 3 Excision/ Biopsy/ Incision and Drainage
12
$52,105
$3,043
17.1×
5362
Level 2 Laparoscopy and Related Services
11
$133,780
$11,013
12.1×
5092
Level 2 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5376
Level 6 Urology and Related Services
—
—
—
—
5414
Level 4 Gynecologic Procedures
—
—
—
—
5415
Level 5 Gynecologic Procedures
—
—
—
—
5416
Level 6 Gynecologic Procedures
—
—
—
—
5431
Level 1 Nerve Procedures
—
—
—
—
5461
Level 1 Neurostimulator and Related Procedures
—
—
—
—
5462
Level 2 Neurostimulator and Related Procedures
—
—
—
—
5372
Level 2 Urology and Related Services
—
—
—
—
5182
Level 2 Vascular Procedures
—
—
—
—
5153
Level 3 Airway Endoscopy
—
—
—
—
5222
Level 2 Pacemaker and Similar Procedures
—
—
—
—
5223
Level 3 Pacemaker and Similar Procedures
—
—
—
—
5094
Level 4 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5302
Level 2 Upper GI Procedures
—
—
—
—
5303
Level 3 Upper GI Procedures
—
—
—
—
5313
Level 3 Lower GI Procedures
—
—
—
—
5331
Complex GI Procedures
—
—
—
—
5341
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures
—
—
—
—
5093
Level 3 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5232
Level 2 ICD and Similar 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. 2,046 findings against it.
Service
Code
Listed
Cash
Negotiated
Rates
Checks
Fine needle aspiration biopsy of growth using MRI guidance, first growth
—
—
$2,516
15
clean
Fine needle aspiration biopsy of growth using MRI guidance, each additional growth
—
—
$853
11
clean
Removal of infected skin, tissue or muscle of genitals, perineum, or abdomen
—
—
$2,516
14
clean
Shaving of skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm
—
—
$2,207
14
clean
Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.5 cm or less
—
—
$2,207
14
clean
Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm
—
—
$2,207
14
clean
Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm
—
—
$2,207
14
clean
Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, more than 2.0 cm
—
—
$2,207
14
clean
Removal of skin and tissue of underarms for inflamed sweat glands with complex repair
—
—
$2,264
16
clean
Removal of skin and tissue of groin for inflamed sweat glands with complicated repair
—
—
$2,264
16
clean
Removal of skin and tissue of anus or navel for inflamed sweat glands with simple or intermediate repair
—
—
$2,264
16
clean
Removal of skin and tissue of anus or navel for inflamed sweat glands with complicated repair
—
—
$2,264
16
clean
Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 3.1-4.0 cm
—
—
$2,264
16
clean
Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, more than 4.0 cm
—
—
$2,264
16
clean
Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 3.1-4.0 cm
—
—
$2,264
16
clean
Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, more than 4.0 cm
—
—
$2,264
16
clean
Repair of wound of scalp, arms, or legs by transferring skin, 10.1-30.0 sq cm
—
—
$2,482
18
clean
Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.1-30.0 sq cm
—
—
$2,482
18
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
—
—
$1,489
12
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
—
—
$2,129
18
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
—
—
$1,489
12
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
—
—
$2,129
18
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
—
—
$1,682
8
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
—
—
$2,129
18
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
—
—
$2,129
18
clean
Full thickness skin graft to scalp, arms, or legs, each additional 20.0 sq cm
—
—
$1,898
11
clean
Full thickness skin graft to forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, each additional 20.0 sq cm
—
—
$1,898
11
clean
Full thickness skin graft to nose, ears, eyelids, or lips, 20.0 sq cm or less
—
—
$2,129
18
clean
Full thickness skin graft to nose, ears, eyelids, or lips, each additional 20.0 sq cm
—
—
$1,898
11
clean
Creation of flap graft to forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet
—
—
$2,482
18
clean
Transfer of skin flap to forehead, cheeks, chin, neck, underarms, genitals, hands, or feet
—
—
$2,667
18
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 97018/b
error
mrf_negotiated_above_max
a negotiated rate of $190 is above the file's own maximum $134
CPT 97139/b
error
mrf_negotiated_above_max
a negotiated rate of $190 is above the file's own maximum $101
CPT 97151/b
error
mrf_negotiated_above_max
a negotiated rate of $190 is above the file's own maximum $40
CPT 97152/b
error
mrf_negotiated_above_max
a negotiated rate of $190 is above the file's own maximum $31
CPT 97153/b
error
mrf_negotiated_above_max
a negotiated rate of $190 is above the file's own maximum $21
CPT 97154/b
error
mrf_negotiated_above_max
a negotiated rate of $190 is above the file's own maximum $21
CPT 97155/b
error
mrf_negotiated_above_max
a negotiated rate of $190 is above the file's own maximum $32
CPT 97156/b
error
mrf_negotiated_above_max
a negotiated rate of $190 is above the file's own maximum $29
CPT 97157/b
error
mrf_negotiated_above_max
a negotiated rate of $190 is above the file's own maximum $33
CPT 97158/b
error
mrf_negotiated_above_max
a negotiated rate of $190 is above the file's own maximum $20
CPT 97169/b
error
mrf_negotiated_above_max
a negotiated rate of $190 is above the file's own maximum $54
CPT 97170/b
error
mrf_negotiated_above_max
a negotiated rate of $190 is above the file's own maximum $54
CPT 97171/b
error
mrf_negotiated_above_max
a negotiated rate of $190 is above the file's own maximum $54
CPT 97172/b
error
mrf_negotiated_above_max
a negotiated rate of $190 is above the file's own maximum $27
CPT 20661/b
error
mrf_negotiated_below_min
a negotiated rate of $776 is below the file's own minimum $853
CPT 32608/b
error
mrf_negotiated_below_min
a negotiated rate of $2,030 is below the file's own minimum $2,228
CPT 20663/b
error
mrf_negotiated_below_min
a negotiated rate of $776 is below the file's own minimum $853
CPT 32609/b
error
mrf_negotiated_below_min
a negotiated rate of $2,366 is below the file's own minimum $2,516
CPT 92551/b
error
mrf_negotiated_below_min
a negotiated rate of $11 is below the file's own minimum $65
CPT 20664/b
error
mrf_negotiated_below_min
a negotiated rate of $776 is below the file's own minimum $828
CPT 92567/b
error
mrf_negotiated_below_min
a negotiated rate of $10 is below the file's own minimum $42
CPT 20696/b
error
mrf_negotiated_below_min
a negotiated rate of $2,366 is below the file's own minimum $2,516
CPT 21811/b
error
mrf_negotiated_below_min
a negotiated rate of $2,030 is below the file's own minimum $2,228
CPT 21812/b
error
mrf_negotiated_below_min
a negotiated rate of $2,030 is below the file's own minimum $2,228
CPT 21813/b
error
mrf_negotiated_below_min
a negotiated rate of $2,030 is below the file's own minimum $2,228
CPT 22010/b
error
mrf_negotiated_below_min
a negotiated rate of $776 is below the file's own minimum $853
CPT 22015/b
error
mrf_negotiated_below_min
a negotiated rate of $776 is below the file's own minimum $853
CPT 53452/b
error
mrf_negotiated_below_min
a negotiated rate of $1,507 is below the file's own minimum $1,654
CPT 53453/b
error
mrf_negotiated_below_min
a negotiated rate of $1,507 is below the file's own minimum $1,654
CPT 53454/b
error
mrf_negotiated_below_min
a negotiated rate of $776 is below the file's own minimum $853
CPT 22867/b
error
mrf_negotiated_below_min
a negotiated rate of $2,030 is below the file's own minimum $2,228
CPT 22868/b
error
mrf_negotiated_below_min
a negotiated rate of $1,507 is below the file's own minimum $1,654
CPT 22870/b
error
mrf_negotiated_below_min
a negotiated rate of $1,507 is below the file's own minimum $1,654
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 57423/b
error
mrf_negotiated_below_min
a negotiated rate of $2,030 is below the file's own minimum $2,228
CPT 59898/b
error
mrf_negotiated_below_min
a negotiated rate of $1,507 is below the file's own minimum $1,654
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 36474/b
error
mrf_negotiated_below_min
a negotiated rate of $1,507 is below the file's own minimum $1,654
CPT 61781/b
error
mrf_negotiated_below_min
a negotiated rate of $1,507 is below the file's own minimum $1,654
CPT 61782/b
error
mrf_negotiated_below_min
a negotiated rate of $1,507 is below the file's own minimum $1,654
CPT 61783/b
error
mrf_negotiated_below_min
a negotiated rate of $1,507 is below the file's own minimum $1,654
CPT 62351/b
error
mrf_negotiated_below_min
a negotiated rate of $2,030 is below the file's own minimum $2,228
MS-DRG 483/i
error
mrf_negotiated_below_min
a negotiated rate of $20,806 is below the file's own minimum $23,635
CPT 26341/b
error
mrf_negotiated_below_min
a negotiated rate of $776 is below the file's own minimum $853
CPT 26553/b
error
mrf_negotiated_below_min
a negotiated rate of $2,030 is below the file's own minimum $2,228
CPT 26554/b
error
mrf_negotiated_below_min
a negotiated rate of $2,030 is below the file's own minimum $2,228
CPT 26556/b
error
mrf_negotiated_below_min
a negotiated rate of $2,366 is below the file's own minimum $2,516
CPT 64568/b
error
mrf_negotiated_below_min
a negotiated rate of $1,507 is below the file's own minimum $1,654
CPT 64569/b
error
mrf_negotiated_below_min
a negotiated rate of $1,507 is below the file's own minimum $1,654
CPT 67299/b
error
mrf_negotiated_below_min
a negotiated rate of $2,366 is below the file's own minimum $2,516
CPT 27027/b
error
mrf_negotiated_below_min
a negotiated rate of $2,366 is below the file's own minimum $2,516
CPT 68899/b
error
mrf_negotiated_below_min
a negotiated rate of $1,507 is below the file's own minimum $1,654
CPT 11920/b
error
mrf_negotiated_below_min
a negotiated rate of $1,507 is below the file's own minimum $1,654
CPT 82810/b
error
mrf_negotiated_below_min
a negotiated rate of $5 is below the file's own minimum $224
CPT 43286/b
error
mrf_negotiated_below_min
a negotiated rate of $2,366 is below the file's own minimum $2,516
CPT 43287/b
error
mrf_negotiated_below_min
a negotiated rate of $2,366 is below the file's own minimum $2,516
CPT 43288/b
error
mrf_negotiated_below_min
a negotiated rate of $2,366 is below the file's own minimum $2,516
CPT 43289/b
error
mrf_negotiated_below_min
a negotiated rate of $2,366 is below the file's own minimum $2,516
CPT 43290/b
error
mrf_negotiated_below_min
a negotiated rate of $1,507 is below the file's own minimum $1,654
CPT 43291/b
error
mrf_negotiated_below_min
a negotiated rate of $1,507 is below the file's own minimum $1,654
CPT 44238/b
error
mrf_negotiated_below_min
a negotiated rate of $2,366 is below the file's own minimum $2,516
CPT 44979/b
error
mrf_negotiated_below_min
a negotiated rate of $2,366 is below the file's own minimum $2,516
CPT 45399/b
error
mrf_negotiated_below_min
a negotiated rate of $1,507 is below the file's own minimum $1,654
CPT 45499/b
error
mrf_negotiated_below_min
a negotiated rate of $2,030 is below the file's own minimum $2,228
CPT 46607/b
error
mrf_negotiated_below_min
a negotiated rate of $776 is below the file's own minimum $853
CPT 47379/b
error
mrf_negotiated_below_min
a negotiated rate of $2,366 is below the file's own minimum $2,516
CPT 15853/b
error
mrf_negotiated_below_min
a negotiated rate of $776 is below the file's own minimum $853
CPT 15854/b
error
mrf_negotiated_below_min
a negotiated rate of $776 is below the file's own minimum $853
CPT 47999/b
error
mrf_negotiated_below_min
a negotiated rate of $2,030 is below the file's own minimum $2,228
CPT 29907/b
error
mrf_negotiated_below_min
a negotiated rate of $2,366 is below the file's own minimum $2,516
CPT 89220/b
error
mrf_negotiated_below_min
a negotiated rate of $9 is below the file's own minimum $22
CPT 49605/b
error
mrf_negotiated_below_min
a negotiated rate of $2,366 is below the file's own minimum $2,516
CPT 20527/b
error
mrf_negotiated_below_min
a negotiated rate of $776 is below the file's own minimum $853
CPT 32607/b
error
mrf_negotiated_below_min
a negotiated rate of $2,030 is below the file's own minimum $2,228
warn
mrf_negotiated_above_gross_systematic
553 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 50684/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 75807/b
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 84588/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 92526/b
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 J0278/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 L3670/b
info
mrf_item_fields_vary
this code and setting cover at least 10 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 50688/b
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 75820/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 differ, so no cross-line comparison was made for this item
CPT 84590/b
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 J0280/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 L3760/b
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 33210/b
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 50690/b
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 75822/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 84600/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 J0282/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 L3807/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 50693/b
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 75825/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 84630/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 92612/b
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 J0289/b
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 L3808/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 20680/b
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 50694/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 75827/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 84681/b
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 92920/b
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 J0290/b
info
mrf_item_fields_vary
this code and setting cover at least 14 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT L3908/b
info
mrf_item_fields_vary
this code and setting cover at least 20 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 50695/b
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 75831/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 84702/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 92921/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 J0295/b
info
mrf_item_fields_vary
this code and setting cover at least 7 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT L3923/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 75833/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 84703/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 92924/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 J0330/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 L3924/b
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 33241/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 75860/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 84999/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 92928/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 J0360/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 L3925/b
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 33262/b
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 51600/b
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 75870/b
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 85014/b
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 92929/b
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 J0456/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 51610/b
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 75889/b
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 85018/b
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 92933/b
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 J0457/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 L3931/b
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 33967/b
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 75891/b
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 85025/b
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 92937/b
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 J0461/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 L3960/b
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 85048/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 92943/b
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 J0475/b
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 L3980/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 51702/b
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 75894/b
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 85220/b
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 92950/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT J0500/b
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 36000/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 75984/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 85240/b
info
mrf_item_fields_vary
this code and setting cover at least 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 J0515/b
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 L3999/b
info
mrf_item_fields_vary
this code and setting cover at least 53 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min differ, so no cross-line comparison was made for this item
CPT 36002/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 75989/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 85245/b
info
mrf_item_fields_vary
this code and setting cover at least 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 92960/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J0561/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT L4350/b
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 36005/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 differ, so no cross-line comparison was made for this item
CPT 76000/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 85246/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT J0583/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 L4360/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 36010/b
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 76080/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 85247/b
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 J0592/b
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 36011/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 76377/b
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 85250/b
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 92977/b
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 J0595/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 L4386/b
info
mrf_item_fields_vary
this code and setting cover at least 7 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 36012/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 differ, so no cross-line comparison was made for this item
CPT 76390/b
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 85260/b
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 93005/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min differ, so no cross-line comparison was made for this item
CPT J0612/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 L4396/b
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 76506/b
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 85270/b
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 93307/b
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 J0637/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 L8501/b
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 36014/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 76512/b
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 85300/b
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 93313/b
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 J0640/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT L8603/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 76536/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 85301/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 93320/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 J0650/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 L8606/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
Showing the first 200 of 2,046 findings, errors first — every finding as JSON →
04 · Checks
Where the Medicare rows do not agree with themselves
Service
Severity
Rule
Detail
MS-DRG 025
info
inp_charge_10x_payment
average charge $757,949 is 17.5× the total payment
MS-DRG 057
info
inp_charge_10x_payment
average charge $188,771 is 15.6× the total payment
MS-DRG 064
info
inp_charge_10x_payment
average charge $419,156 is 15.1× the total payment
MS-DRG 065
info
inp_charge_10x_payment
average charge $153,261 is 15.2× the total payment
MS-DRG 069
info
inp_charge_10x_payment
average charge $128,963 is 17.0× the total payment
MS-DRG 074
info
inp_charge_10x_payment
average charge $207,033 is 20.1× the total payment
MS-DRG 177
info
inp_charge_10x_payment
average charge $230,306 is 13.8× the total payment
MS-DRG 189
info
inp_charge_10x_payment
average charge $153,959 is 13.6× the total payment
MS-DRG 193
info
inp_charge_10x_payment
average charge $188,873 is 14.1× the total payment
MS-DRG 194
info
inp_charge_10x_payment
average charge $95,158 is 13.0× the total payment
MS-DRG 207
info
inp_charge_10x_payment
average charge $845,689 is 15.9× the total payment
MS-DRG 208
info
inp_charge_10x_payment
average charge $353,486 is 14.0× the total payment
MS-DRG 233
info
inp_charge_10x_payment
average charge $825,795 is 10.5× the total payment
MS-DRG 235
info
inp_charge_10x_payment
average charge $623,090 is 11.5× the total payment
MS-DRG 266
info
inp_charge_10x_payment
average charge $638,625 is 11.5× the total payment
MS-DRG 267
info
inp_charge_10x_payment
average charge $547,874 is 13.8× the total payment
MS-DRG 280
info
inp_charge_10x_payment
average charge $175,190 is 11.1× the total payment
MS-DRG 286
info
inp_charge_10x_payment
average charge $234,990 is 11.0× the total payment
MS-DRG 291
info
inp_charge_10x_payment
average charge $147,811 is 11.7× the total payment
MS-DRG 299
info
inp_charge_10x_payment
average charge $164,271 is 11.2× the total payment
MS-DRG 300
info
inp_charge_10x_payment
average charge $133,304 is 11.5× the total payment
MS-DRG 305
info
inp_charge_10x_payment
average charge $100,585 is 12.0× the total payment
MS-DRG 308
info
inp_charge_10x_payment
average charge $225,618 is 19.9× the total payment
MS-DRG 309
info
inp_charge_10x_payment
average charge $96,190 is 12.8× the total payment
MS-DRG 312
info
inp_charge_10x_payment
average charge $98,550 is 11.4× the total payment
MS-DRG 313
info
inp_charge_10x_payment
average charge $93,163 is 12.8× the total payment
MS-DRG 314
info
inp_charge_10x_payment
average charge $235,539 is 12.9× the total payment
MS-DRG 321
info
inp_charge_10x_payment
average charge $492,684 is 19.6× the total payment
MS-DRG 322
info
inp_charge_10x_payment
average charge $277,377 is 16.1× the total payment
MS-DRG 329
info
inp_charge_10x_payment
average charge $574,454 is 13.4× the total payment
MS-DRG 330
info
inp_charge_10x_payment
average charge $298,518 is 13.7× the total payment
MS-DRG 371
info
inp_charge_10x_payment
average charge $188,121 is 11.6× the total payment
MS-DRG 372
info
inp_charge_10x_payment
average charge $124,943 is 12.2× the total payment
MS-DRG 377
info
inp_charge_10x_payment
average charge $242,188 is 14.2× the total payment
MS-DRG 378
info
inp_charge_10x_payment
average charge $141,217 is 14.7× the total payment
MS-DRG 391
info
inp_charge_10x_payment
average charge $201,343 is 15.8× the total payment
MS-DRG 392
info
inp_charge_10x_payment
average charge $104,322 is 13.0× the total payment
MS-DRG 393
info
inp_charge_10x_payment
average charge $184,455 is 11.6× the total payment
MS-DRG 394
info
inp_charge_10x_payment
average charge $146,890 is 16.6× the total payment
MS-DRG 460
info
inp_charge_10x_payment
average charge $425,174 is 11.2× the total payment
MS-DRG 470
info
inp_charge_10x_payment
average charge $240,018 is 13.1× the total payment
MS-DRG 483
info
inp_charge_10x_payment
average charge $227,274 is 10.6× the total payment
MS-DRG 551
info
inp_charge_10x_payment
average charge $204,596 is 14.6× the total payment
MS-DRG 552
info
inp_charge_10x_payment
average charge $99,331 is 11.0× the total payment
MS-DRG 563
info
inp_charge_10x_payment
average charge $84,858 is 10.7× the total payment
MS-DRG 602
info
inp_charge_10x_payment
average charge $174,337 is 12.3× the total payment
MS-DRG 603
info
inp_charge_10x_payment
average charge $112,405 is 12.8× the total payment
MS-DRG 637
info
inp_charge_10x_payment
average charge $161,989 is 12.1× the total payment
MS-DRG 638
info
inp_charge_10x_payment
average charge $126,875 is 12.9× the total payment
MS-DRG 640
info
inp_charge_10x_payment
average charge $140,205 is 11.3× the total payment
MS-DRG 641
info
inp_charge_10x_payment
average charge $89,074 is 11.7× the total payment
MS-DRG 643
info
inp_charge_10x_payment
average charge $227,135 is 15.2× the total payment
MS-DRG 673
info
inp_charge_10x_payment
average charge $726,708 is 21.0× the total payment
MS-DRG 682
info
inp_charge_10x_payment
average charge $259,590 is 15.0× the total payment
MS-DRG 683
info
inp_charge_10x_payment
average charge $95,387 is 10.9× the total payment
MS-DRG 689
info
inp_charge_10x_payment
average charge $141,002 is 12.9× the total payment
MS-DRG 690
info
inp_charge_10x_payment
average charge $114,048 is 13.1× the total payment
MS-DRG 698
info
inp_charge_10x_payment
average charge $254,332 is 17.6× the total payment
MS-DRG 699
info
inp_charge_10x_payment
average charge $90,450 is 10.5× the total payment
MS-DRG 853
info
inp_charge_10x_payment
average charge $562,938 is 14.4× the total payment
MS-DRG 870
info
inp_charge_10x_payment
average charge $797,723 is 12.7× the total payment
MS-DRG 871
info
inp_charge_10x_payment
average charge $271,051 is 14.2× the total payment
MS-DRG 872
info
inp_charge_10x_payment
average charge $134,958 is 12.1× the total payment
MS-DRG 884
info
inp_charge_10x_payment
average charge $175,993 is 11.0× the total payment
MS-DRG 917
info
inp_charge_10x_payment
average charge $157,039 is 11.0× the total payment
MS-DRG 919
info
inp_charge_10x_payment
average charge $269,801 is 15.2× 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)
- Spring Valley Hospital Medical Center — standard charges file · NV · updated 1/1/2026· csv-wide · 170.0M bytes · fetched 2026-08-25 · sha256 4f8ca38aa5f3…
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.