Hospital · CCN 290054

Centennial Hills Hospital Medical Center

6900 N Durango Dr, Las Vegas, NV 89149 · Clark County
Part of Universal Health Services · 327 beds · 5
Metropolitan area core: primary flow within an urbanized area of 50,000 and greater

73 admission types 39 outpatient services price file: ok 73 Medicare-file findings
Billed per dollar paid, all admissions
16.32×
$530.8M billed against $32.5M paid across 2,334 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
353
$305,759
$16,877
18.1× st 10.1×
291
Heart failure and shock with mcc
113
$177,619
$12,060
14.7× st 8.3×
193
Simple pneumonia and pleurisy with mcc
73
$210,879
$12,400
17.0× st 8.7×
177
Respiratory infections and inflammations with mcc
68
$238,111
$14,541
16.4× st 8.4×
392
Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc
67
$135,297
$7,172
18.9× st 10.4×
689
Kidney and urinary tract infections with mcc
60
$144,439
$9,702
14.9× st 9.6×
690
Kidney and urinary tract infections without mcc
58
$126,770
$7,200
17.6× st 9.7×
682
Renal failure with mcc
54
$165,586
$12,251
13.5× st 9.4×
640
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc
52
$194,085
$11,656
16.7× st 8.5×
853
Infectious and parasitic diseases with o.r. procedures with mcc
46
$705,198
$44,994
15.7× st 9.9×
069
Transient ischemia without thrombolytic
43
$148,079
$6,960
21.3× st 13.9×
312
Syncope and collapse
42
$109,304
$7,488
14.6× st 9.7×
309
Cardiac arrhythmia and conduction disorders with cc
41
$97,250
$6,726
14.5× st 8.7×
470
Major hip and knee joint replacement or reattachment of lower extremity without mcc
40
$236,312
$18,868
12.5× st 10.0×
872
Septicemia or severe sepsis without mv >96 hours without mcc
40
$174,230
$14,083
12.4× st 10.0×
313
Chest pain
39
$114,423
$6,680
17.1× st 13.1×
378
Gastrointestinal hemorrhage with cc
39
$160,141
$9,250
17.3× st 9.8×
064
Intracranial hemorrhage or cerebral infarction with mcc
39
$298,879
$18,938
15.8× st 11.0×
552
Medical back problems without mcc
37
$102,975
$8,031
12.8× st 9.4×
683
Renal failure with cc
37
$114,235
$9,141
12.5× st 8.8×
870
Septicemia or severe sepsis with mv >96 hours
35
$704,947
$52,352
13.5× st 11.1×
190
Chronic obstructive pulmonary disease with mcc
35
$154,088
$9,169
16.8× st 7.8×
305
Hypertension without mcc
33
$103,118
$9,261
11.1× st 11.8×
698
Other kidney and urinary tract diagnoses with mcc
32
$306,679
$13,168
23.3× st 10.2×
641
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc
32
$114,558
$7,569
15.1× st 8.6×
065
Intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours
30
$161,934
$9,546
17.0× st 9.7×
189
Pulmonary edema and respiratory failure
30
$191,942
$10,914
17.6× st 7.5×
637
Diabetes with mcc
28
$197,096
$13,238
14.9× st 9.9×
280
Acute myocardial infarction, discharged alive with mcc
28
$247,372
$13,161
18.8× st 9.2×
149
Dysequilibrium
28
$102,805
$6,848
15.0× st 13.0×
481
Hip and femur procedures except major joint with cc
26
$244,550
$17,581
13.9× st 7.5×
377
Gastrointestinal hemorrhage with mcc
26
$430,361
$18,598
23.1× st 9.7×
389
Gastrointestinal obstruction with cc
22
$131,980
$6,936
19.0× st 9.3×
603
Cellulitis without mcc
21
$124,073
$7,692
16.1× st 8.9×
812
Red blood cell disorders without mcc
21
$148,185
$8,432
17.6× st 8.6×
418
Laparoscopic cholecystectomy without c.d.e. with cc
21
$236,266
$16,103
14.7× st 10.8×
194
Simple pneumonia and pleurisy with cc
20
$120,576
$7,548
16.0× st 9.1×
563
Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without mcc
20
$95,785
$7,295
13.1× st 10.2×
391
Esophagitis, gastroenteritis and miscellaneous digestive disorders with mcc
19
$146,827
$10,848
13.5× st 8.5×
811
Red blood cell disorders with mcc
19
$248,352
$12,095
20.5× st 10.2×
638
Diabetes with cc
19
$167,274
$8,753
19.1× st 9.7×
103
Headaches without mcc
18
$114,650
$7,299
15.7× st 13.5×
468
Revision of hip or knee replacement without cc/mcc
18
$301,030
$22,130
13.6× st 7.5×
699
Other kidney and urinary tract diagnoses with cc
18
$284,617
$8,174
34.8× st 8.9×
310
Cardiac arrhythmia and conduction disorders without cc/mcc
17
$85,936
$4,939
17.4× st 10.3×
445
Disorders of the biliary tract with cc
17
$156,684
$9,244
17.0× st 11.1×
393
Other digestive system diagnoses with mcc
17
$277,124
$13,697
20.2× st 10.2×
101
Seizures without mcc
17
$111,455
$8,037
13.9× st 8.6×
551
Medical back problems with mcc
16
$238,102
$14,117
16.9× st 9.6×
522
Hip replacement with principal diagnosis of hip fracture without mcc
16
$319,349
$17,374
18.4× st 8.2×
057
Degenerative nervous system disorders without mcc
16
$124,822
$11,269
11.1× st 8.3×
394
Other digestive system diagnoses with cc
15
$206,130
$10,038
20.5× st 9.8×
919
Complications of treatment with mcc
15
$202,381
$15,257
13.3× st 7.5×
304
Hypertension with mcc
15
$163,106
$10,298
15.8× st 10.0×
467
Revision of hip or knee replacement with cc
14
$386,179
$26,430
14.6× st 9.1×
329
Major small and large bowel procedures with mcc
14
$651,401
$38,278
17.0× st 9.3×
315
Other circulatory system diagnoses with cc
14
$112,793
$8,312
13.6× st 7.8×
308
Cardiac arrhythmia and conduction disorders with mcc
14
$160,480
$10,255
15.6× st 9.0×
981
Extensive o.r. procedures unrelated to principal diagnosis with mcc
13
$531,326
$36,238
14.7× st 7.3×
286
Circulatory disorders except ami, with cardiac catheterization with mcc
13
$294,870
$20,390
14.5× st 10.4×
208
Respiratory system diagnosis with ventilator support <=96 hours
13
$332,936
$22,348
14.9× st 11.0×
917
Poisoning and toxic effects of drugs with mcc
13
$152,320
$11,570
13.2× st 8.6×
417
Laparoscopic cholecystectomy without c.d.e. with mcc
13
$340,995
$20,635
16.5× st 11.1×
175
Pulmonary embolism with mcc or acute cor pulmonale
12
$215,608
$10,890
19.8× st 8.8×
314
Other circulatory system diagnoses with mcc
12
$281,833
$17,013
16.6× st 9.1×
091
Other disorders of nervous system with mcc
11
$193,741
$12,450
15.6× st 7.7×
100
Seizures with mcc
11
$246,801
$15,915
15.5× st 9.3×
243
Permanent cardiac pacemaker implant with cc
11
$276,318
$18,938
14.6× st 10.5×
252
Other vascular procedures with mcc
11
$402,057
$28,196
14.3× st 8.5×
300
Peripheral vascular disorders with cc
11
$119,189
$9,129
13.1× st 9.9×
371
Major gastrointestinal disorders and peritoneal infections with mcc
11
$390,196
$14,364
27.2× st 11.2×
521
Hip replacement with principal diagnosis of hip fracture with mcc
11
$458,669
$24,324
18.9× st 8.3×
713
Transurethral prostatectomy with cc/mcc
11
$202,707
$12,192
16.6× st 16.6×
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
354
$49,891
$2,859
17.4×
5302
Level 2 Upper GI Procedures
134
$26,525
$1,984
13.4×
5115
Level 5 Musculoskeletal Procedures
53
$176,771
$13,422
13.2×
5361
Level 1 Laparoscopy and Related Services
32
$100,708
$5,884
17.1×
5375
Level 5 Urology and Related Services
32
$85,562
$5,412
15.8×
5362
Level 2 Laparoscopy and Related Services
30
$117,427
$11,012
10.7×
5374
Level 4 Urology and Related Services
30
$75,831
$3,734
20.3×
5331
Complex GI Procedures
26
$47,421
$6,104
7.8×
5113
Level 3 Musculoskeletal Procedures
25
$82,620
$3,356
24.6×
5184
Level 4 Vascular Procedures
23
$89,363
$5,886
15.2×
5183
Level 3 Vascular Procedures
23
$53,624
$3,414
15.7×
5414
Level 4 Gynecologic Procedures
21
$77,919
$3,348
23.3×
5114
Level 4 Musculoskeletal Procedures
19
$117,746
$7,662
15.4×
5376
Level 6 Urology and Related Services
19
$109,578
$9,859
11.1×
5112
Level 2 Musculoskeletal Procedures
18
$33,450
$1,721
19.4×
5341
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures
17
$88,283
$3,532
25.0×
5191
Level 1 Endovascular Procedures
16
$64,482
$3,496
18.4×
5072
Level 2 Excision/ Biopsy/ Incision and Drainage
15
$34,529
$1,737
19.9×
5073
Level 3 Excision/ Biopsy/ Incision and Drainage
15
$47,286
$3,043
15.5×
5303
Level 3 Upper GI Procedures
14
$32,186
$4,102
7.8×
5116
Level 6 Musculoskeletal Procedures
—
—
—
—
5092
Level 2 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5091
Level 1 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5192
Level 2 Endovascular Procedures
—
—
—
—
5415
Level 5 Gynecologic Procedures
—
—
—
—
5416
Level 6 Gynecologic Procedures
—
—
—
—
5464
Level 4 Neurostimulator and Related Procedures
—
—
—
—
5465
Level 5 Neurostimulator and Related Procedures
—
—
—
—
5373
Level 3 Urology and Related Services
—
—
—
—
5153
Level 3 Airway Endoscopy
—
—
—
—
5182
Level 2 Vascular Procedures
—
—
—
—
5194
Level 4 Endovascular Procedures
—
—
—
—
5223
Level 3 Pacemaker and Similar Procedures
—
—
—
—
5165
Level 5 ENT Procedures
—
—
—
—
5313
Level 3 Lower GI Procedures
—
—
—
—
5163
Level 3 ENT Procedures
—
—
—
—
5155
Level 5 Airway Endoscopy
—
—
—
—
5154
Level 4 Airway Endoscopy
—
—
—
—
5193
Level 3 Endovascular 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 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
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
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 36140/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 77332/b
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 86078/b
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 97010/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT J1450/b
info
mrf_item_fields_vary
this code and setting cover at least 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 Q4196/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 77336/b
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 86140/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 97012/b
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 J1453/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT Q4204/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 36200/b
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 77370/b
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 86141/b
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 J1459/b
info
mrf_item_fields_vary
this code and setting cover at least 3 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT Q4258/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 36215/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 77401/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 86146/b
info
mrf_item_fields_vary
this code and setting cover at least 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 J1566/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 Q5105/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 36216/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 77520/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 86147/b
info
mrf_item_fields_vary
this code and setting cover at least 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 97032/b
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 J1568/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 Q5106/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 36217/b
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 77600/b
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 86148/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 97035/b
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 J1572/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 Q5115/b
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 36218/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 59409/b
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 77750/b
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 86157/b
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 97110/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 J1580/b
info
mrf_item_fields_vary
this code and setting cover at least 14 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT Q9963/b
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 36221/b
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 77761/b
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 86160/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 97116/b
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 J1596/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 Q9966/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 36222/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 77789/b
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 86161/b
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 97124/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 J1611/b
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 Q9967/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 36223/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 60100/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 78012/b
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 86162/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 97129/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 J1626/b
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 Q9968/b
info
mrf_item_fields_vary
this code and setting cover at least 4 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 36224/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 78014/b
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 86171/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 97130/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 J1630/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 36225/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 60699/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 78195/b
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 86200/b
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 97140/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 J1631/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 36226/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 78226/b
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 86225/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 97150/b
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 J1640/b
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 36227/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 78227/b
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 86226/b
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 97161/b
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 J1642/b
info
mrf_item_fields_vary
this code and setting cover at least 22 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 36228/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 78278/b
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 86231/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 97164/b
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 J1644/b
info
mrf_item_fields_vary
this code and setting cover at least 21 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 36245/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 78580/b
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 86235/b
info
mrf_item_fields_vary
this code and setting cover at least 13 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 97165/b
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 J1645/b
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 36246/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 78701/b
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 86255/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, max differ, so no cross-line comparison was made for this item
CPT 97168/b
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 J1650/b
info
mrf_item_fields_vary
this code and setting cover at least 19 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 36247/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 78725/b
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 86256/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 97530/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 J1652/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 36248/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 78803/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 86300/b
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 97533/b
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 J1720/b
info
mrf_item_fields_vary
this code and setting cover at least 9 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 36251/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 80051/b
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 86301/b
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 97535/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 J1742/b
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 36252/b
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 62273/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 80061/b
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 86304/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 97542/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 J1756/b
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 36253/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 62290/b
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 80074/b
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 86308/b
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 97597/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 differ, so no cross-line comparison was made for this item
CPT J1790/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 36254/b
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 80150/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 86316/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 97598/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 differ, so no cross-line comparison was made for this item
CPT J1800/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 80158/b
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 86317/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 J1805/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 36410/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 80164/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 86332/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 97602/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 J1815/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 80176/b
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 86334/b
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 97605/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 J1836/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 62305/b
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 80185/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 86335/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 97606/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 J1885/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 80186/b
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 86337/b
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 97607/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 J1920/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 80197/b
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 86340/b
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 97608/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 J1939/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 62328/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 80200/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 86341/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 97760/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 J1940/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 62329/b
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 80202/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 86357/b
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 97763/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 J1950/b
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 80299/b
info
mrf_item_fields_vary
this code and setting cover at least 19 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, max differ, so no cross-line comparison was made for this item
CPT 86359/b
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 J1953/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 81002/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 86360/b
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 J1956/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 81003/b
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 86361/b
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 J2002/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 81005/b
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 86376/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 J2003/b
info
mrf_item_fields_vary
this code and setting cover at least 25 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 81015/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 86403/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 99406/b
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 J2004/b
info
mrf_item_fields_vary
this code and setting cover at least 9 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 81025/b
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 86406/b
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 99407/b
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 J2020/b
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 81339/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 86430/b
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 99465/b
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 J2060/b
info
mrf_item_fields_vary
this code and setting cover at least 14 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item
CPT 81455/b
info
mrf_item_fields_vary
this code and setting cover at least 2 distinct chargemaster lines (modifier, billing class or unit); their min, max differ, so no cross-line comparison was made for this item
CPT 86431/b
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 A2001/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 J2175/b
info
mrf_item_fields_vary
this code and setting cover at least 7 distinct chargemaster lines (modifier, billing class or unit); their gross, cash, min, max differ, so no cross-line comparison was made for this item

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 521
info
inp_charge_10x_payment
average charge $458,669 is 18.9× the total payment
MS-DRG 522
info
inp_charge_10x_payment
average charge $319,349 is 18.4× the total payment
MS-DRG 551
info
inp_charge_10x_payment
average charge $238,102 is 16.9× the total payment
MS-DRG 552
info
inp_charge_10x_payment
average charge $102,975 is 12.8× the total payment
MS-DRG 563
info
inp_charge_10x_payment
average charge $95,785 is 13.1× the total payment
MS-DRG 603
info
inp_charge_10x_payment
average charge $124,073 is 16.1× the total payment
MS-DRG 637
info
inp_charge_10x_payment
average charge $197,096 is 14.9× the total payment
MS-DRG 638
info
inp_charge_10x_payment
average charge $167,274 is 19.1× the total payment
MS-DRG 640
info
inp_charge_10x_payment
average charge $194,085 is 16.7× the total payment
MS-DRG 641
info
inp_charge_10x_payment
average charge $114,558 is 15.1× the total payment
MS-DRG 682
info
inp_charge_10x_payment
average charge $165,586 is 13.5× the total payment
MS-DRG 683
info
inp_charge_10x_payment
average charge $114,235 is 12.5× the total payment
MS-DRG 689
info
inp_charge_10x_payment
average charge $144,439 is 14.9× the total payment
MS-DRG 690
info
inp_charge_10x_payment
average charge $126,770 is 17.6× the total payment
MS-DRG 698
info
inp_charge_10x_payment
average charge $306,679 is 23.3× the total payment
MS-DRG 699
info
inp_charge_10x_payment
average charge $284,617 is 34.8× the total payment
MS-DRG 713
info
inp_charge_10x_payment
average charge $202,707 is 16.6× the total payment
MS-DRG 811
info
inp_charge_10x_payment
average charge $248,352 is 20.5× the total payment
MS-DRG 812
info
inp_charge_10x_payment
average charge $148,185 is 17.6× the total payment
MS-DRG 853
info
inp_charge_10x_payment
average charge $705,198 is 15.7× the total payment
MS-DRG 870
info
inp_charge_10x_payment
average charge $704,947 is 13.5× the total payment
MS-DRG 871
info
inp_charge_10x_payment
average charge $305,759 is 18.1× the total payment
MS-DRG 872
info
inp_charge_10x_payment
average charge $174,230 is 12.4× the total payment
MS-DRG 917
info
inp_charge_10x_payment
average charge $152,320 is 13.2× the total payment
MS-DRG 919
info
inp_charge_10x_payment
average charge $202,381 is 13.3× the total payment
MS-DRG 981
info
inp_charge_10x_payment
average charge $531,326 is 14.7× the total payment
MS-DRG 057
info
inp_charge_10x_payment
average charge $124,822 is 11.1× the total payment
MS-DRG 064
info
inp_charge_10x_payment
average charge $298,879 is 15.8× the total payment
MS-DRG 065
info
inp_charge_10x_payment
average charge $161,934 is 17.0× the total payment
MS-DRG 069
info
inp_charge_10x_payment
average charge $148,079 is 21.3× the total payment
MS-DRG 091
info
inp_charge_10x_payment
average charge $193,741 is 15.6× the total payment
MS-DRG 100
info
inp_charge_10x_payment
average charge $246,801 is 15.5× the total payment
MS-DRG 101
info
inp_charge_10x_payment
average charge $111,455 is 13.9× the total payment
MS-DRG 103
info
inp_charge_10x_payment
average charge $114,650 is 15.7× the total payment
MS-DRG 149
info
inp_charge_10x_payment
average charge $102,805 is 15.0× the total payment
MS-DRG 175
info
inp_charge_10x_payment
average charge $215,608 is 19.8× the total payment
MS-DRG 177
info
inp_charge_10x_payment
average charge $238,111 is 16.4× the total payment
MS-DRG 189
info
inp_charge_10x_payment
average charge $191,942 is 17.6× the total payment
MS-DRG 190
info
inp_charge_10x_payment
average charge $154,088 is 16.8× the total payment
MS-DRG 193
info
inp_charge_10x_payment
average charge $210,879 is 17.0× the total payment
MS-DRG 194
info
inp_charge_10x_payment
average charge $120,576 is 16.0× the total payment
MS-DRG 208
info
inp_charge_10x_payment
average charge $332,936 is 14.9× the total payment
MS-DRG 243
info
inp_charge_10x_payment
average charge $276,318 is 14.6× the total payment
MS-DRG 252
info
inp_charge_10x_payment
average charge $402,057 is 14.3× the total payment
MS-DRG 280
info
inp_charge_10x_payment
average charge $247,372 is 18.8× the total payment
MS-DRG 286
info
inp_charge_10x_payment
average charge $294,870 is 14.5× the total payment
MS-DRG 291
info
inp_charge_10x_payment
average charge $177,619 is 14.7× the total payment
MS-DRG 300
info
inp_charge_10x_payment
average charge $119,189 is 13.1× the total payment
MS-DRG 304
info
inp_charge_10x_payment
average charge $163,106 is 15.8× the total payment
MS-DRG 305
info
inp_charge_10x_payment
average charge $103,118 is 11.1× the total payment
MS-DRG 308
info
inp_charge_10x_payment
average charge $160,480 is 15.6× the total payment
MS-DRG 309
info
inp_charge_10x_payment
average charge $97,250 is 14.5× the total payment
MS-DRG 310
info
inp_charge_10x_payment
average charge $85,936 is 17.4× the total payment
MS-DRG 312
info
inp_charge_10x_payment
average charge $109,304 is 14.6× the total payment
MS-DRG 313
info
inp_charge_10x_payment
average charge $114,423 is 17.1× the total payment
MS-DRG 314
info
inp_charge_10x_payment
average charge $281,833 is 16.6× the total payment
MS-DRG 315
info
inp_charge_10x_payment
average charge $112,793 is 13.6× the total payment
MS-DRG 329
info
inp_charge_10x_payment
average charge $651,401 is 17.0× the total payment
MS-DRG 371
info
inp_charge_10x_payment
average charge $390,196 is 27.2× the total payment
MS-DRG 377
info
inp_charge_10x_payment
average charge $430,361 is 23.1× the total payment
MS-DRG 378
info
inp_charge_10x_payment
average charge $160,141 is 17.3× the total payment
MS-DRG 389
info
inp_charge_10x_payment
average charge $131,980 is 19.0× the total payment
MS-DRG 391
info
inp_charge_10x_payment
average charge $146,827 is 13.5× the total payment
MS-DRG 392
info
inp_charge_10x_payment
average charge $135,297 is 18.9× the total payment
MS-DRG 393
info
inp_charge_10x_payment
average charge $277,124 is 20.2× the total payment
MS-DRG 394
info
inp_charge_10x_payment
average charge $206,130 is 20.5× the total payment
MS-DRG 417
info
inp_charge_10x_payment
average charge $340,995 is 16.5× the total payment
MS-DRG 418
info
inp_charge_10x_payment
average charge $236,266 is 14.7× the total payment
MS-DRG 445
info
inp_charge_10x_payment
average charge $156,684 is 16.9× the total payment
MS-DRG 467
info
inp_charge_10x_payment
average charge $386,179 is 14.6× the total payment
MS-DRG 468
info
inp_charge_10x_payment
average charge $301,030 is 13.6× the total payment
MS-DRG 470
info
inp_charge_10x_payment
average charge $236,312 is 12.5× the total payment
MS-DRG 481
info
inp_charge_10x_payment
average charge $244,550 is 13.9× 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 2026-08-24 · sha256 32189a5ca073…

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.